NPIMap

Organization Active NPI

Proficient Rehab Care PT PLLC

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1922635218
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROFICIENT REHAB CARE PT PLLC
Practice address
121 Winham Ave
Staten Island, NY 10306-4930
Phone
(347) 302-6045
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amro BarakatNPI 1932555372
Title
PT
Phone
(718) 701-3922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

121 Winham Ave
Staten Island, NY 10306-4930

Mailing address

121 Winham Ave
Staten Island, NY 10306-4930

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1922635218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WINHAM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WINHAM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064930",
            "telephone_number": "347-302-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT REHAB CARE PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "AMRO",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-701-3922"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.