Organization Active NPI

Rehabilitation and Physical Therapy Consultant PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1952511701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8361-1 Issued in NY
Legal business name
REHABILITATION AND PHYSICAL THERAPY CONSULTANT PC
Practice address
1641 Bergen St
Brooklyn, NY 11213-2416
Phone
(347) 249-6501
Fax
(718) 778-3083
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Muoyo Okome, PH.D., P.T.NPI 1841263423
Title
President and Clinical Director
Phone
(347) 249-6501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8361-1 NY Primary

Addresses

Primary practice location

1641 Bergen St
Brooklyn, NY 11213-2416

Mailing address

724 E 18TH St
Suite B
Brooklyn, NY 11230-1801
Phone (347) 249-6501

Other identifiers 12

IdentifierTypeStateIssuer
008361SOtherNYHEATHCARE PARTNERS PRVD #
2326173OtherNYAETNA PROVIDER ID #
815353OtherNYACN GROUP PROVIDER #
AS 203OtherNYOXFORD PROVIDER ID #
PRIS #20304POtherNYHIP PROVIDER #
5714653OtherNYFIRST HEALTH INS PROV #
77151OtherNYCAREPLUS PROVIDER ID #
00869397-001OtherNYUNITED HEALTHCARE ID #
008361NYOtherNY1199SEIU PROVIDER ID #
1841263423OtherNYINDIVIDUAL NPI #
0038950103OtherNYHEALTHPLUS PROVIDERE #
6699117OtherNYGHI PROVIDER #

National Provider Directory

National Provider Directory

Locations

33 Front St
Ste 102
Hempstead, NY 11550
Phone (516) 292-6501

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952511701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E 18TH ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301801",
            "telephone_number": "347-249-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132416",
            "telephone_number": "347-249-6501",
            "fax_number": "718-778-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND PHYSICAL THERAPY CONSULTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKOME",
        "authorized_official_first_name": "MUOYO",
        "authorized_official_title_or_position": "PRESIDENT   AND  CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-249-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,  P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8361-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHCARE PARTNERS PRVD #",
            "identifier": "008361S",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  PROVIDER  ID #",
            "identifier": "2326173",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP  PROVIDER #",
            "identifier": "815353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID  #",
            "identifier": "AS  203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER #",
            "identifier": "PRIS #20304P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH INS PROV  #",
            "identifier": "5714653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS PROVIDER ID #",
            "identifier": "77151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID #",
            "identifier": "00869397-001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199SEIU PROVIDER ID #",
            "identifier": "008361NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL   NPI  #",
            "identifier": "1841263423",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDERE #",
            "identifier": "0038950103",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER  #",
            "identifier": "6699117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.