Organization Active NPI

Big City Physical Therapy, PLLC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1205358025
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035024 Issued in NY
Legal business name
BIG CITY PHYSICAL THERAPY, PLLC
Doing business as
Big City Physical Therapy, PLLC
Practice address
3202 Morley Ave
Staten Island, NY 10306-1906
Phone
(917) 945-0805
NPI assigned
Jul 13, 2017
Last updated
Oct 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Dr. Natallia Hutman, DPTNPI 1043521396
Title
Physical Therapist
Phone
(917) 945-0805

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X 035024 NY Primary

Addresses

Primary practice location

3202 Morley Ave
Staten Island, NY 10306-1906

Mailing address

3202 Morley Ave
Staten Island, NY 10306-1906
Phone (917) 945-0805

Other identifiers 2

IdentifierTypeStateIssuer
03506916MedicaidNY
1043521396OtherMATYPE I NPI

Other names 1

  • Big City Physical Therapy, PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laguta@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171003005506 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587939483 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1205358025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 MORLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061906",
            "telephone_number": "917-945-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MORLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061906",
            "telephone_number": "917-945-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG CITY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "HUTMAN",
        "authorized_official_first_name": "NATALLIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-945-0805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03506916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1043521396",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laguta@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3202 Morley Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103061906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Big City Physical Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.