NPIMap

Organization Active NPI

DS Park Slope Physical and Occupational Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114486727
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
DS PARK SLOPE PHYSICAL AND OCCUPATIONAL THERAPY
Practice address
37 8TH Ave
Brooklyn, NY 11217-3901
Phone
(718) 636-0545
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Erica Martin, DPT
Title
Owner
Phone
(718) 636-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X Primary

Addresses

Primary practice location

37 8TH Ave
Brooklyn, NY 11217-3901

Mailing address

37 8TH Ave
Brooklyn, NY 11217-3901
Phone (718) 636-0545

National Provider Directory

National Provider Directory

Locations

37 8th Ave
Brooklyn, NY 11217
Phone (718) 636-0545

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1114486727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173901",
            "telephone_number": "718-636-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173901",
            "telephone_number": "718-636-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS PARK SLOPE PHYSICAL AND OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-636-0545",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "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 Mar 14, 2019; 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.