Individual provider Active NPI

Victor Francisco Santamaria Gonzalez, PT, MS, PHD

  • Pediatric Physical Therapist
  • New York, NY
National Provider Identifier
1225494115
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
039706 Issued in NY
Practice address
311 E 94TH St
New York, NY 10128-5683
Phone
(646) 315-1548
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 039706 NY Primary
Physical Therapist 225100000X 039706 NY

Addresses

Primary practice location

311 E 94TH St
New York, NY 10128-5683

Mailing address

10440 Queens Blvd Apt 19W
Forest Hills, NY 11375-3657
Phone (541) 974-8153

Other practice location 1

10440 Queens Blvd Apt 19W
Forest Hills, NY 11375-3657
Phone (541) 974-8153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Vsantamaria@ibrainnyc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
039706NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vsantamaria Physical Therapy Physical Therapist CurrentSince May 16, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vsantamaria@ibrainnyc.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1225494115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD APT 19W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753657",
            "telephone_number": "541-974-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285683",
            "telephone_number": "646-315-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10440 Queens Blvd Apt 19W",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753657",
            "country_code": "US",
            "telephone_number": "541-974-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTAMARIA GONZALEZ",
        "first_name": "VICTOR",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "PT, MS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "039706",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vsantamaria@ibrainnyc.org",
            "affiliation": "N",
            "address_1": "311 E 94th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "101285683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.