SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC (NPI# 1417462755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417462755 |
| Entity Type | Organization |
| Organization Name | SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC |
| Other Organization Name | SPORTS THERAPY AND REHABILITATION SERVICES |
| Practice Address |
95-25 Queens Blvd Suite D Rego Park NY 11374 |
| Mailing Address |
1983 Marcus Ave Suite 119 Lake Success NY 11042 |
| Practice Telephone | 7189256212 |
| Practice Fax Number | 7189256271 |
| Mailing Telephone | 5163217800 |
| Mailing Fax Number | 5163217830 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | NINA DEPAOLA (VICE PRESIDENT) |
| Authorized Official Telephone | 5163217513 |
| Authorized Official Credential | PT, MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Sports Therapy and Rehabilitation Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161778 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 2608 Merrick Rd, Bellmore, NY 11710-5715 | 2020-07-12 |
| 1922451871 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1160 E Jericho Tpke, Suite 123, Huntington, NY 11743-5400 | 2016-07-15 |
| 1164040564 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1101 Stewart Ave Ste 100, Garden City, NY 11530-4833 | 2020-07-12 |
| 1235757642 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2020-07-12 |
| 1508484916 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-07-12 |
| 1780202192 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-07-12 |
| 1346795929 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 801 Merrick Ave, East Meadow, NY 11554-4748 | 2016-08-24 |
| 1700331386 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 925 Hempstead Tpke, Suite 310, Franklin Square, NY 11010-3641 | 2016-08-24 |
| 1457806036 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 210 E 64th St, 5th Floor, New York City, NY 10021-2000 | 2016-08-24 |
| 1942653563 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1554 Northern Blvd, Suite 202, Manhasset, NY 11030 | 2016-07-19 |
| Street Address |
95-25 QUEENS BLVD SUITE D |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620847 | Guy G. Crevecoeur, Md | Plastic Surgery | 95-25 Queens Blvd, Rego Park, NY 11374 | 2007-03-23 |
| 1932511029 | Fadjana Pierre | Registered Nurse | 95-25 Queens Blvd, Rego Park, NY 11374 | 2014-05-23 |
| 1073868840 | Dimitar Svilenov Ranev | Surgery | 95-25 Queens Blvd, Rego Park, NY 11374-4510 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004657 | Pao-chen Lin | Physical Therapist | 9408 66th Ave Fl 2, Rego Park, NY 11374-4632 | 2020-08-21 |
| 1104462746 | Bhavin Patel | Physical Therapist | 6555 Woodhaven Blvd Fl 2, Rego Park, NY 11374-5048 | 2019-11-19 |
| 1538626783 | Yairkhay Davydov | Physical Therapist | 6520 Booth St Apt 5c, Rego Park, NY 11374-4033 | 2019-02-25 |
| 1780140103 | Ella Bartov | Physical Therapist | 6536 99th St Apt 6f, Rego Park, NY 11374-4370 | 2019-02-11 |
| 1396229597 | Jenna Kantor | Physical Therapist | 6125 97th St Apt 9l, Rego Park, NY 11374-1235 | 2018-09-24 |
| 1487166278 | Maria Leslie Bellaflor | Physical Therapist | 6254 97th Pl Apt 6o, Rego Park, NY 11374-1353 | 2017-11-01 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1891235347 | Yogeshkumar Makvana | Physical Therapist | 6475 Austin St Apt 4a, Rego Park, NY 11374 | 2017-03-02 |
| 1942744503 | Shelly Moti | Physical Therapist | 6118 Saunders St, Rego Park, NY 11374-1027 | 2016-12-15 |
| 1265988406 | Yiyu Lin | Physical Therapist | 9525 Queens Blvd Ste 3d, Rego Park, NY 11374-4510 | 2016-08-28 |
| Find all providers in REGO PARK | ||||
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| 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.