Healthberry Physical Therapy Office, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HEALTHBERRY PHYSICAL THERAPY OFFICE, PC

Practice address

445 Park Ave
Brooklyn, NY 11205-2735

Phone

(718) 534-7100

Fax

(718) 534-5221

NPI assigned

Aug 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chaim Backman, P.T.

Title

Owner

Phone

(718) 534-7100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1003063942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SKILLMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051551",
            "telephone_number": "718-534-7100",
            "fax_number": "718-534-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PARK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052735",
            "telephone_number": "718-534-7100",
            "fax_number": "718-534-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBERRY PHYSICAL THERAPY OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "BACKMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-534-7100",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.