ENHANCED PHYSICAL THERAPY PC
NPI 1003110164
Physical Therapist in South Richmond Hill, NY

Active since January 04, 2011
12809 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 743-7090 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Enhanced Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENHANCED PHYSICAL THERAPY PC (NPI 1003110164) is a healthcare organization registered as a physical therapist in South Richmond Hill, New York and active in the NPI registry since January 2011. The organization lists Jacob Kurian, Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1003110164
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameENHANCED PHYSICAL THERAPY PC
Location Address12809 LIBERTY AVESouth Richmond Hill, NY 11419-2217
Mailing Address12809 Liberty AveSouth Richmond Hill, NY 11419-2217
Organization SubpartNo
Authorized OfficialJacob KurianPhysical Therapy · (718) 743-7090
Enumeration DateJanuary 4, 2011
✔ NPI 1003110164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 026465
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12809 LIBERTY AVE, South Richmond Hill, NY 11419

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enhanced Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110809000096Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Enhanced Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1063453538
183 SUNFLOWER LN
Islandia, NY 11749
(631) 630-9115
✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enhanced Physical Therapy PC's NPI number?

The NPI number for Enhanced Physical Therapy PC is 1003110164. It was assigned to this organization in the NPPES registry on January 4, 2011.

Where is Enhanced Physical Therapy PC located?

Enhanced Physical Therapy PC is located at 12809 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 743-7090.

What is Enhanced Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Enhanced Physical Therapy PC enrolled in Medicare?

Yes. Enhanced Physical Therapy PC is registered in the Medicare PECOS enrollment system.

When is Enhanced Physical Therapy PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Enhanced Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Enhanced Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Enhanced Physical Therapy PC was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.