Individual provider Active NPI

Guillermo Echanique, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1275668691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003681-1 Issued in NY
Practice address
70 Prospect Park SW Apt A6
Brooklyn, NY 11215-5981
Phone
(917) 670-7138
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003681-1 NY Primary

Addresses

Primary practice location

70 Prospect Park SW Apt A6
Brooklyn, NY 11215-5981

Mailing address

70 Prospect Park SW Apt A6
Brooklyn, NY 11215-5981
Phone (917) 670-7138

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
003681-1NYMDMental Health Counselor
003681NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start PT PLLC Physical Therapist PastSince Mar 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: guillermo.echanique.p2@direct.ucpnyc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275668691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PROSPECT PARK SW APT A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155981",
            "telephone_number": "917-670-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PROSPECT PARK SW APT A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155981",
            "telephone_number": "917-670-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHANIQUE",
        "first_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003681-1",
            "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 Jul 8, 2007; 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.