FUNCTIONAL PHYSICAL THERAPY REHAB PC
NPI 1760716047
Clinic/Center - Physical Therapy in Elmhurst, NY
About Functional Physical Therapy Rehab Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNCTIONAL PHYSICAL THERAPY REHAB PC (NPI 1760716047) is a healthcare organization registered as a physical therapy in Elmhurst, New York and active in the NPI registry since September 2009. The organization lists Joaquin Charris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Functional Physical Therapy Rehab Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Functional Physical Therapy Rehab PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Functional Physical Therapy Rehab PC's NPI number?
The NPI number for Functional Physical Therapy Rehab PC is 1760716047. It was assigned to this organization in the NPPES registry on September 20, 2009.
Where is Functional Physical Therapy Rehab PC located?
Functional Physical Therapy Rehab PC is located at 8131 Baxter Ave Suite Cd, Elmhurst, NY 11373. The listed phone number is (718) 424-5151.
What is Functional Physical Therapy Rehab PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Functional Physical Therapy Rehab PC enrolled in Medicare?
Yes. Functional Physical Therapy Rehab PC is registered in the Medicare PECOS enrollment system.
When is Functional Physical Therapy Rehab 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 November 30, 2026. 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 Functional Physical Therapy Rehab PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Functional Physical Therapy Rehab 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 Functional Physical Therapy Rehab PC was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Functional Physical Therapy Rehab Pc · NPI 1760716047
Physical Therapy organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since September 20, 2009.
## Identity
- **NPI:** 1760716047 (Entity type: Organization)
- **Enumerated:** September 20, 2009
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Joaquin Charris, PRESIDENT
## Practice location
- **Address:** 8131 BAXTER AVE, SUITE CD, Elmhurst, NY 11373-1315
- **Phone:** (718) 424-5151 · **Fax:** (718) 424-9119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1760716047) · Data from the CMS NPPES public registry.