Individual provider Active NPI

Doris Nieves, DPT

  • Physical Therapist
National Provider Identifier
1083753529
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029093 Issued in NY
Practice address
Bdaach/549TH HC Usag Humphreys BLDG. #3030
Unit #15245
Apo, AP 96271
Phone
(011) 822-7917
NPI assigned
Feb 5, 2007
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009822 CT
Physical Therapist 225100000X 029093 NY Primary

Addresses

Primary practice location

Bdaach/549TH HC Usag Humphreys BLDG. #3030
Unit #15245
Apo, AP 96271

Mailing address

Bdaach/549TH HC
Usag Humphreys, BLDG. #3030 Unit 15245
Apo, AP 96271
Phone (011) 822-7917

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
9822CTMDPharmacist
009822CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewisboro Physical Therapy PC Physical Therapist PastSince Jan 18, 2009 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Past Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients
Montefiore Medical Center Physical Therapist PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 4

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1083753529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "BDAACH/549TH HC",
            "address_2": "USAG HUMPHREYS, BLDG. #3030 UNIT 15245",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "telephone_number": "011-822-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "BDAACH/549TH HC USAG HUMPHREYS BLDG. #3030",
            "address_2": "UNIT #15245",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "telephone_number": "011-822-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "DORIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.