QUEENS CHIROPRACTIC AND PHYSICAL THERAPY PLLC
NPI 1720976624
Chiropractor in Ridgewood, NY

Active since June 27, 2025
865 CYPRESS AVENUE, RIDGEWOOD, NY 11385(718) 628-5300 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Queens Chiropractic And Physical Therapy Pllc NPPES

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

QUEENS CHIROPRACTIC AND PHYSICAL THERAPY PLLC (NPI 1720976624) is a healthcare organization registered as a chiropractor in Ridgewood, New York and active in the NPI registry since June 2025. The organization lists Jason Brattner, Owner, as its authorized official.

NPPES Registry Identity

NPI1720976624
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameQUEENS CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Location Address865 CYPRESS AVENUERidgewood, NY 11385
Mailing Address865 Cypress AvenueRidgewood, NY 11385 · (718) 628-5300
Organization SubpartNo
Authorized OfficialJason BrattnerOwner · (718) 628-5300
Enumeration DateJune 27, 2025
✔ NPI 1720976624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedPhysical TherapistTaxonomy 225100000X
865 CYPRESS AVENUE, Ridgewood, NY 11385

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Queens Chiropractic And Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Queens Chiropractic And Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1053486167
865 CYPRESS AVE
Ridgewood, NY 11385
(718) 628-5300
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932303377
2 WOODTREE DR
Woodbury, NY 11797
(917) 664-4450
24 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 Queens Chiropractic And Physical Therapy PLLC's NPI number?

The NPI number for Queens Chiropractic And Physical Therapy PLLC is 1720976624. It was assigned to this organization in the NPPES registry on June 27, 2025.

Where is Queens Chiropractic And Physical Therapy PLLC located?

Queens Chiropractic And Physical Therapy PLLC is located at 865 Cypress Avenue, Ridgewood, NY 11385. The listed phone number is (718) 628-5300.

What is Queens Chiropractic And Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Queens Chiropractic And Physical Therapy PLLC enrolled in Medicare?

Yes. Queens Chiropractic And Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queens Chiropractic And Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Queens Chiropractic And Physical Therapy PLLC, in Chiropractic and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Queens Chiropractic And Physical Therapy PLLC was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.