Active NPI
Erin Flader, DPT
- Physical Therapist
- Hauppauge, NY
National Provider Identifier
1104330505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042604
- Practice address
- 1383 Veterans Memorial Hwy
Hauppauge, NY 11788-3048 - Phone
- (631) 582-0088
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- 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 | 042604 | NY | Primary |
Addresses
Primary practice location
1383 Veterans Memorial Hwy
Hauppauge, NY 11788-3048
Mailing address
153 Berkshire Dr
Farmingville, NY 11738-2003
Phone (646) 270-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042604 | Other | NY | NEW YORK STATE DEPARTMENT OF EDUCATION |
Other names 1
- Erin Brady
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042604 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thetherapyspotforpediatric&Adultspeechphysical&Occupationaltherapypllc | Physical Therapist | Past | Accepting new patients |
| The Therapy Spot, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Hauppauge, NY
- NPI 1184892507
-
- Rehabilitation Clinic/Center
- Reading, MA
- NPI 1780605915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1104330505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BERKSHIRE DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382003",
"telephone_number": "646-270-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 VETERANS MEMORIAL HWY",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883048",
"telephone_number": "631-582-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLADER",
"first_name": "ERIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE DEPARTMENT OF EDUCATION",
"identifier": "042604",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "BRADY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.