Active NPI
Open Door Physical Therapy PC
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1992465991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OPEN DOOR PHYSICAL THERAPY PC
- Practice address
- 635 Prescott PL
Valley Stream, NY 11581-3033 - Phone
- (347) 857-8991
- NPI assigned
- Dec 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aron Charach, DPT
- Title
- Physical Therapist
- Phone
- (646) 275-6111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
635 Prescott PL
Valley Stream, NY 11581-3033
Mailing address
635 Prescott PL
Valley Stream, NY 11581-3033
Phone (347) 857-8991
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | opendoorphysicaltherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1699042390
-
- Specialist
- Brooklyn, NY
- NPI 1225542483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1992465991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 PRESCOTT PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813033",
"telephone_number": "347-857-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 PRESCOTT PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813033",
"telephone_number": "347-857-8991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN DOOR PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-18",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "CHARACH",
"authorized_official_first_name": "ARON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "646-275-6111",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "opendoorphysicaltherapy.com",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "635 Prescott Pl",
"city": "Valley Stream",
"state": "NY",
"country_code": "US",
"postal_code": "115813033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.