Organization Active NPI

Complete Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1134575848
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013293 Issued in NY
Legal business name
COMPLETE PHYSICAL THERAPY P.C.
Practice address
134 Norman Ave
Brooklyn, NY 11222-2940
Phone
(718) 383-6460
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Robby Xavier Manatt, DPTNPI 1689148801
Title
President
Phone
(973) 900-0460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 013293 NY Primary

Addresses

Primary practice location

134 Norman Ave
Brooklyn, NY 11222-2940

Mailing address

134 Norman Ave
Brooklyn, NY 11222-2940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211021001331 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507254778 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; Middletown, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1146 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 213-6344

Practitioners & affiliated clinicians

Practitioners 4

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1134575848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222940",
            "telephone_number": "718-383-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MANATT",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-900-0460",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013293",
            "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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.