Active NPI
Junya Hatta, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1033796552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1153407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1153407 | NY | MD | Physical 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.