1316318041 NPI number — REHAB FOCUS PHYSICAL THERAPY,PC

Table of content: SHAWN DARLENE POST RD (NPI 1285398677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316318041 NPI number — REHAB FOCUS PHYSICAL THERAPY,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHAB FOCUS PHYSICAL THERAPY,PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316318041
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
86-35 QUEENS BLVD.
Provider Second Line Business Mailing Address:
SUITE 1B
Provider Business Mailing Address City Name:
ELMHURST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11373-4408
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-533-8588
Provider Business Mailing Address Fax Number:
718-533-1249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
86-35 QUEENS BLVD.
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11373-4408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-533-8588
Provider Business Practice Location Address Fax Number:
718-533-1249
Provider Enumeration Date:
10/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
JUMAGDAO
Authorized Official First Name:
OTHILIA
Authorized Official Middle Name:
TENORIO
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
718-533-8588

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  032691 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 032691 . This is a "LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com