PRO CARE PHYSICAL THERAPY GROUP PC (NPI# 1437399532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437399532 |
| Entity Type | Organization |
| Organization Name | PRO CARE PHYSICAL THERAPY GROUP PC |
| Practice Address |
4111 30th Ave Ste C Astoria NY 11103-2913 |
| Practice Telephone | 7182744400 |
| Mailing Telephone | 7182744400 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | MAURICIO MARK CLEMENTE ZAMORA (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9177741436 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
025676 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE/GHI | 04255Q | 01 |
| Street Address |
4111 30TH AVE STE C |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043363021 | Cheri Durden | Internal Medicine | 4111 30th Ave Ste C, Astoria, NY 11103-2913 | 2007-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| 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 |
| 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 |
| 1912028671 | Astoria Physical Therapy and Sports Rehabilitation Center, PC | Clinic/Center | 2120 Exchange St Ste 104, Astoria, OR 97103-3366 | 2007-04-02 |
| Find all providers in ASTORIA | ||||
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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.