Organization Active NPI

Home Physical Therapy Provider PC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1235442450
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
022810 Issued in NY
Legal business name
HOME PHYSICAL THERAPY PROVIDER PC
Practice address
22 79TH St
Brooklyn, NY 11209-2813
Phone
(718) 769-4231
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Susan Camillieri
Title
Ceo
Phone
(718) 769-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 022810 NY Primary

Addresses

Primary practice location

22 79TH St
Brooklyn, NY 11209-2813

Mailing address

22 79TH St
Brooklyn, NY 11209-2813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1235442450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092813",
            "telephone_number": "718-769-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICAL THERAPY PROVIDER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "CAMILLIERI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-769-4231"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "022810",
            "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 Jul 16, 2010; 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.