Individual provider Active NPI

Stephen Barth, PT,ATC,CSCS

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1114093291
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023853 Issued in NY
Practice address
33 Richmond Hill Rd
Staten Island, NY 10314-5950
Phone
(718) 982-6340
Fax
(718) 982-5853
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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 023853 NY Primary

Addresses

Primary practice location

33 Richmond Hill Rd
Staten Island, NY 10314-5950

Mailing address

31 New Dorp LN
Staten Island, NY 10306-2351
Phone (718) 370-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000674 NY Practitioner - Physical Therapist in Private Practice 8426048851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLC 312 clinicians

Practice addresses (Care Compare)

1551 Richmond Rd
Staten Island, NY 10304-2338
Phone (718) 943-9830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Mar 31, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2965 Veterans Rd W
Ste A
Staten Island, NY 10309
Phone (718) 874-1012

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

1243 Woodrow Rd
Ste 321
Staten Island, NY 10309

1243 Woodrow Rd
Unit 323
Staten Island, NY 10309
Phone (718) 844-5350

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1114093291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-370-3500",
            "fax_number": "718-979-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RICHMOND HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145950",
            "telephone_number": "718-982-6340",
            "fax_number": "718-982-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT,ATC,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.