MEDICARE: ALL 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	:	1659230274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL REHAB PT PC

Provider Business Mailing Address
First Line	:	4025 74TH ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-5634
Country	:	US
Telephone Number	:	718-280-1137
Fax Number	:

Provider Business Practice Location Address
First Line	:	4025 74TH ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-5634
Country	:	US
Telephone Number	:	718-280-1137
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARWA ATIA
Credential	:	PT
Telephone Number	:	347-249-8512

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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