Active NPI
Stefan Sahagun, DPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 048217
- Practice address
- 2133 Ralph Ave
Brooklyn, NY 11234-5405 - Phone
- (718) 451-1400
- NPI assigned
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 048217 | Primary |
Addresses
Primary practice location
2133 Ralph Ave
Brooklyn, NY 11234-5405
Mailing address
981 US Highway 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Cortelyou Rd
Brooklyn, NY 11226-5606
Phone (347) 699-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048217 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
2846 Steinway St
Astoria, NY 11103
Phone (347) 424-4503
973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
25 Flatbush Ave
Ste 3
Brooklyn, NY 11217
Phone (718) 852-2584
142 Prospect Park W
Brooklyn, NY 11215
Phone (718) 230-1180
2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400
1412 Cortelyou Rd
Brooklyn, NY 11226
Phone (347) 699-1011
490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
4543 21st St
Long Island City, NY 11101
Phone (347) 589-8100
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1144988627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 US HIGHWAY 22 FL 2",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072946",
"telephone_number": "201-801-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345405",
"telephone_number": "718-451-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHAGUN",
"first_name": "STEFAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "048217",
"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 Dec 2, 2021; 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.