MEDICARE: GARDEN CITY REHAB PT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1831051572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN CITY REHAB PT PC

Provider Business Mailing Address
First Line	:	46 WASHINGTON AVE
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-6217
Country	:	US
Telephone Number	:	347-217-6176
Fax Number	:	347-217-6176

Provider Business Practice Location Address
First Line	:	710 GRAND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-5140
Country	:	US
Telephone Number	:	347-217-6176
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	OSAMA ALKASSAS
Credential	:	DPT, PT
Telephone Number	:	347-217-6176

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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