Individual provider Active NPI

Junya Hatta, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1033796552
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1153407 Issued in NY
Practice address
1 Hanson PL
Brooklyn, NY 11243-2900
Phone
(718) 857-1900
Fax
(718) 857-1902
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1153407 NY Primary

Addresses

Primary practice location

1 Hanson PL
Brooklyn, NY 11243-2900

Mailing address

1255 5TH Ave Apt 6L
New York, NY 10029-3996
Phone (914) 400-1500

Other practice location 1

139 E 57th St Fl 2
New York, NY 10022-2102
Phone (212) 753-4767

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
1153407NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1033796552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 5TH AVE APT 6L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293996",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HANSON PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432900",
            "telephone_number": "718-857-1900",
            "fax_number": "718-857-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E 57th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100222102",
            "country_code": "US",
            "telephone_number": "212-753-4767",
            "fax_number": "212-753-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTA",
        "first_name": "JUNYA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "1153407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.