CREATIVE PHYSICAL THERAPY CARE PLLC
NPI 1700545803
Physical Therapist in Valley Cottage, NY

Active since December 16, 2021
542 WESTFIELD DR, VALLEY COTTAGE, NY 10989(646) 415-2448 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Creative Physical Therapy Care Pllc NPPES

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

CREATIVE PHYSICAL THERAPY CARE PLLC (NPI 1700545803) is a healthcare organization registered as a physical therapist in Valley Cottage, New York and active in the NPI registry since December 2021. The organization lists Wadeaa Edwar Mina Ibrahimm, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1700545803
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCREATIVE PHYSICAL THERAPY CARE PLLC
Location Address542 WESTFIELD DRValley Cottage, NY 10989-1320
Mailing Address542 Westfield DrValley Cottage, NY 10989-1320 · (646) 415-2448
Organization SubpartNo
Authorized OfficialWadeaa Edwar Mina IbrahimmOwner/physical Therapist · (646) 415-2448
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1700545803 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
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.
542 WESTFIELD DR, Valley Cottage, NY 10989

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creative Physical Therapy Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Creative Physical Therapy Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1306548706
115 N SPRING ST
Bloomfield, NJ 07003
(347) 574-7576
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1609309962
10844 63RD AVE
Forest Hills, NY 11375
(646) 415-2448
✔ Accepts Medicare27 mi
Physical Therapist in Private Practice
NPI 1639972102
46 PROSPECT AVE
Bayonne, NJ 07002
(845) 370-3926
✔ Accepts Medicare33 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 Creative Physical Therapy Care PLLC's NPI number?

The NPI number for Creative Physical Therapy Care PLLC is 1700545803. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Creative Physical Therapy Care PLLC located?

Creative Physical Therapy Care PLLC is located at 542 Westfield Dr, Valley Cottage, NY 10989. The listed phone number is (646) 415-2448.

What is Creative Physical Therapy Care PLLC's specialty?

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

Is Creative Physical Therapy Care PLLC enrolled in Medicare?

Yes. Creative Physical Therapy Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creative Physical Therapy Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Creative Physical Therapy Care PLLC. 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 Creative Physical Therapy Care PLLC was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.