SCORE REHABILITATION, LLC (NPI# 1215161542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215161542 |
| Entity Type | Organization |
| Organization Name | SCORE REHABILITATION, LLC |
| Practice Address |
23-07 30th Drive Suite 1b Astoria NY 11102 |
| Practice Telephone | 6462651334 |
| Practice Fax Number | 9178326795 |
| Mailing Telephone | 6462651334 |
| Mailing Fax Number | 9178326795 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | MR. JAMES PATRICK SHIELDS JR. (CEO/MANAGER) |
| Authorized Official Telephone | 6462651334 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251E00000X | Home Health | 029386 | NY | Agencies |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
029386 | NY | Ambulatory Health Care Facilities |
| Street Address |
23-07 30TH DRIVE, SUITE 1B |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1174162440 | Great Western Physical Therapy PC | Clinic/Center | 3175 29th St Apt A7, Astoria, NY 11106-3328 | 2020-01-03 |
| 1962067033 | Oasis Professional Management Group, Ltd. | Clinic/Center | 2915 Broadway, Astoria, NY 11106-2950 | 2019-05-04 |
| 1386927143 | Health First Physical Therapy PC | Clinic/Center | 2540 30th Rd, Suite A1, Astoria, NY 11102-2624 | 2011-09-27 |
| 1235174384 | Body In Balance Physical Therapy, PC | Clinic/Center | 3063 38th St Fl B, Astoria, NY 11103-3803 | 2006-06-20 |
| 1134595895 | Mount Joy Physical Therapy, P.C. | Clinic/Center | 2320 Broadway, Astoria, NY 11106-4192 | 2015-08-18 |
| 1518264977 | Road To Recovery Physical Therapy, P.C. | Clinic/Center | 2503 27th St, Astoria, NY 11102-2349 | 2011-02-22 |
| 1437399532 | Pro Care Physical Therapy Group PC | Clinic/Center | 4111 30th Ave Ste C, Astoria, NY 11103-2913 | 2009-03-02 |
| 1871762682 | Theracare & Wellness Physical Therapy,p.c | Clinic/Center | 3109 Newtown Ave, 211, Astoria, NY 11102-1373 | 2008-02-26 |
| 1235333550 | Ies Medical | Clinic/Center | 3804 31st Ave, Astoria, NY 11103-3800 | 2007-06-12 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on SCORE REHABILITATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.