Active NPI
Victor Francisco Santamaria Gonzalez, PT, MS, PHD
- Pediatric Physical Therapist
- New York, NY
National Provider Identifier
1225494115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 039706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 039706 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vsantamaria Physical Therapy | Physical Therapist | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Physical Therapist
- Forest Hills, NY
- NPI 1205418688
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.