Individual provider Active NPI

Joceila Stieven, PT

  • Physical Therapy Clinic/Center
  • East Hampton, NY
National Provider Identifier
1033784327
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
015347 Issued in NY
Practice address
6 Berryman Street
East Hampton, NY 11937
Phone
(917) 297-8005
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 015347 NY Primary

Addresses

Primary practice location

6 Berryman Street
East Hampton, NY 11937

Mailing address

6 Berryman Street
East Hampton, NY 11937
Phone (917) 297-8005

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL webPT Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526002159 NY Practitioner - Physical Therapist in Private Practice 3971902800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Sos PT PCGroup PAC ID 7214955533, 24 clinicians

Practice addresses (Care Compare)

354 Montauk Hwy
Wainscott, NY 11975-2000
Phone (631) 296-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Sos PT PC Physical Therapy CurrentSince May 11, 2021 Accepting new patients

Locations

1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080

139 E 57th St
New York, NY 10022
Phone (212) 753-4767

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1033784327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BERRYMAN STREET",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "11937",
            "telephone_number": "917-297-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BERRYMAN STREET",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "11937",
            "telephone_number": "917-297-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEVEN",
        "first_name": "JOCEILA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "015347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Berryman Street",
            "city": "East Hampton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.