Organization Active NPI

Open Door Physical Therapy PC

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1992465991
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Aron Charach, DPTNPI 1699042390
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL opendoorphysicaltherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127001131 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608268404 Receives reassigned benefits from 2 practitioners
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.