Organization Active NPI

Madison Physical Therapy

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1275520918
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013940-1 Issued in NY
Legal business name
MADISON PHYSICAL THERAPY
Practice address
1514 Voorhies Avenue
Brooklyn, NY 11235
Phone
(718) 648-0888
Fax
(718) 648-0411
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mark Ehud Amir, P.T.NPI 1093702730
Title
President
Phone
(718) 648-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 013940-1 NY Primary

Addresses

Primary practice location

1514 Voorhies Avenue
Brooklyn, NY 11235

Mailing address

3311 Shore Pkwy
Apt. FF
Brooklyn, NY 11235-3956
Phone (718) 648-0888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1275520918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SHORE PKWY",
            "address_2": "APT. FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353956",
            "telephone_number": "718-648-0888",
            "fax_number": "718-648-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VOORHIES AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-648-0888",
            "fax_number": "718-648-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EHUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-648-0888",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013940-1",
            "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 Jun 24, 2008; 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.