SI PHYSICAL THERAPY (NPI# 1700492519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700492519 |
| Entity Type | Organization |
| Organization Name | SI PHYSICAL THERAPY |
| Practice Address |
119-60 Metropolitan Ave Kew Gardens NY 11415 |
| Practice Telephone | 7183672905 |
| Mailing Telephone | 7183672905 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | DR. IBRAHIM ABDELFATAH (OWNER) |
| Authorized Official Telephone | 7183072905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02119705 | 05 |
| Street Address |
119-60 METROPOLITAN AVE |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| 1215296645 | Lamar Gilmore | Social Worker | 119-29(a) 80th Road, Kew Gardens, NY 11415 | 2012-05-04 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558667162 | Michie Hoshino L Ac PC | Clinic/Center | 8204 Austin St, Kew Gardens, NY 11415-1413 | 2011-01-28 |
| 1487194775 | New York Medical and Diagnostic Center | Clinic/Center | 8046 Kew Gardens Rd, Kew Gardens, NY 11415-1154 | 2017-03-06 |
| 1063800670 | Physio Health Ny Pt,pc | Clinic/Center | 11940 Metropolitan Ave, Suite 105, Kew Gardens, NY 11415-2600 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
Please comment or provide details below to improve the information on SI PHYSICAL THERAPY.
| 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.