Organization Active NPI

Creative Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1073779526
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022447 Issued in NY
Legal business name
CREATIVE PHYSICAL THERAPY PLLC
Practice address
5911 16TH Ave
Brooklyn, NY 11204-2114
Phone
(718) 232-2300
Fax
(718) 236-3449
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Hamid Askarinam, P.T.
Title
Sole Member
Phone
(718) 232-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 022447 NY Primary

Addresses

Primary practice location

5911 16TH Ave
Brooklyn, NY 11204-2114

Mailing address

5911 16TH Ave
Brooklyn, NY 11204-2114
Phone (718) 232-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1073779526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-232-2300",
            "fax_number": "718-236-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-232-2300",
            "fax_number": "718-236-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ASKARINAM",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "718-232-2300",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022447",
            "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 Aug 4, 2008; 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.