Individual provider Active NPI

Eduardo F. S. Pereira, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1265701338
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034192-1 Issued in NY
Practice address
13 E 16TH St FL 2
New York, NY 10003
Phone
(212) 989-4678
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034192-1 NY Primary

Addresses

Primary practice location

13 E 16TH St FL 2
New York, NY 10003

Mailing address

3206 47TH St Apt 3H
Astoria, NY 11103-1739
Phone (347) 965-2054

Other practice location 1

37 Union Sq W
3rd Floor
New York, NY 10003-3217
Phone (212) 750-1110

Other practice location 2

430 W 24th St Apt 1F
New York, NY 10011-1328
Phone (212) 741-5544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000081 NY Practitioner - Physical Therapist in Private Practice 2769620095 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 W 24TH St
Apt 1F
New York, NY 10011-1328
Phone (347) 965-2054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034192-1NYMDPhysical Therapist
034192NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pereira Movement Performance Physical Therapy PLLC Physical Therapist Current Accepting new patients
Montefiore Medical Center CurrentSince Sep 16, 2022 Accepting new patients
Restorerehab Physical Therapy, P.C. Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Sep 16, 2022 Accepting new patients
Gotham Physical Therapy, PC PastSince Jul 30, 2009 Accepting new patients
Bounce Back Physical Therapy, PC PastSince Jul 1, 2005 Accepting new patients
Gotham Physical Therapy Group PLLC Physical Therapist Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Organizations & group practices 7

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1265701338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 47TH ST APT 3H",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031739",
            "telephone_number": "347-965-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E 16TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-989-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Union Sq W",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033217",
            "country_code": "US",
            "telephone_number": "212-750-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 W 24th St Apt 1F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100111328",
            "country_code": "US",
            "telephone_number": "212-741-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "EDUARDO",
        "middle_name": "F. S.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034192-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.