Organization Active NPI

Boro Park Rehabilitation P.T., PLLC

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1972780963
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BORO PARK REHABILITATION P.T., PLLC
Practice address
619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone
(917) 468-5253
Fax
(800) 275-3671
NPI assigned
Jan 22, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Alan H. KleinmanNPI 1285770446
Title
President
Phone
(917) 854-0447

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

619 Elvira Ave
Far Rockaway, NY 11691-5404

Mailing address

619 Elvira Ave
Far Rockaway, NY 11691-5404
Phone (917) 468-5253

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1972780963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "917-468-5253",
            "fax_number": "800-275-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 ELVIRA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915404",
            "telephone_number": "917-468-5253",
            "fax_number": "800-275-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO PARK REHABILITATION P.T., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-854-0447"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.