Organization Active NPI

Earth Physical Therapy PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1124610993
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EARTH PHYSICAL THERAPY PC
Practice address
4720 Avenue N
Brooklyn, NY 11234-3710
Phone
(718) 258-7800
Fax
(718) 258-7811
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Sali Elsaid
Title
PT
Phone
(917) 900-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4720 Avenue N
Brooklyn, NY 11234-3710

Mailing address

4720 Avenue N
Brooklyn, NY 11234-3710
Phone (718) 258-7800

National Provider Directory

National Provider Directory

Locations

4720 Avenue N
Brooklyn, NY 11234
Phone (718) 258-7800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1124610993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343710",
            "telephone_number": "718-258-7800",
            "fax_number": "718-258-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343710",
            "telephone_number": "718-258-7800",
            "fax_number": "718-258-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ELSAID",
        "authorized_official_first_name": "SALI",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "917-900-5040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Feb 3, 2021; 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.