NPIMap

Organization Active NPI

Brooklyn Body Works Physical Therapy, P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1174511646
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0227091 Issued in NY
Legal business name
BROOKLYN BODY WORKS PHYSICAL THERAPY, P.C.
Practice address
202 Union Ave
Ste K
Brooklyn, NY 11211
Phone
(718) 387-7420
Fax
(718) 387-7421
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Matthew Gregg Spiegelman, MPTNPI 1578650859
Title
Director
Phone
(718) 387-7420

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0227091 NY Primary

Addresses

Primary practice location

202 Union Ave
Ste K
Brooklyn, NY 11211

Mailing address

202 Union Ave
Ste K
Brooklyn, NY 11211
Phone (718) 387-7420

Other names 1

  • BBW Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920000058 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840224911 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

202 Union Ave
Ste K
Brooklyn, NY 11211
Phone (718) 387-7420

190 Union Ave
Brooklyn, NY 11211
Phone (718) 387-7420

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1174511646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNION AVE",
            "address_2": "STE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-387-7420",
            "fax_number": "718-387-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 UNION AVE",
            "address_2": "STE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-387-7420",
            "fax_number": "718-387-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN BODY WORKS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "SPIEGELMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-387-7420",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0227091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BBW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 30, 2013; 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.