Individual provider Active NPI

Sattha Art Tiangtham, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1073174959
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
41 Clark St
Brooklyn, NY 11201-2415
Phone
(646) 518-5566
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 Primary

Addresses

Primary practice location

41 Clark St
Brooklyn, NY 11201-2415

Mailing address

307 5TH Ave FL 6
New York, NY 10016-6575
Phone (212) 759-2282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926001072 NY Practitioner - Physical Therapist in Private Practice 1759611262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

186 Joralemon St
Brooklyn, NY 11201-4356
Phone (212) 263-7300

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Apr 1, 2021 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
New York University CurrentSince Aug 9, 2021 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Sep 24, 2019 Accepting new patients
New York University CurrentSince Aug 9, 2021 Accepting new patients

Locations

186 Joralemon St
Fl 9
Brooklyn, NY 11201
Phone (929) 455-2399

41 Clark St
Brooklyn, NY 11201
Phone (646) 518-5566

186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400

1983 Marcus Ave
Ste 119
New Hyde Park, NY 11042
Phone (516) 321-7526

307 5th Ave
Fl 6
New York, NY 10016
Phone (646) 790-7464

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1073174959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166575",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CLARK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012415",
            "telephone_number": "646-518-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIANGTHAM",
        "first_name": "SATTHA",
        "middle_name": "ART",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Oct 24, 2019; 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.