Individual provider Active NPI

Desiree Aeldred Unsworth, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1023584166
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043494-1 Issued in NY
Practice address
53 Columbus Ave Ste 4
New York, NY 10023-6909
Phone
(212) 541-8450
Fax
(212) 541-8582
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043494-1 NY Primary

Addresses

Primary practice location

53 Columbus Ave Ste 4
New York, NY 10023-6909

Mailing address

53 Columbus Ave Ste 4
New York, NY 10023-6909
Phone (212) 541-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043494-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1023584166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COLUMBUS AVE STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236909",
            "telephone_number": "212-541-8450",
            "fax_number": "212-541-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COLUMBUS AVE STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236909",
            "telephone_number": "212-541-8450",
            "fax_number": "212-541-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNSWORTH",
        "first_name": "DESIREE",
        "middle_name": "AELDRED",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.