Extra Step Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXTRA STEP PHYSICAL THERAPY PC

Practice address

8411 13TH Ave
Brooklyn, NY 11228-3340

Phone

(718) 331-2667

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Philip Debaz, DPTNPI 1235486937

Title

Doctor of Physical Therapy

Phone

(646) 637-3715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Philip Debaz, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1235486937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1265856157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 W 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232725",
            "telephone_number": "646-637-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283340",
            "telephone_number": "718-331-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA STEP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "DEBAZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "646-637-3715",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.