Daniel Seidler Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DANIEL SEIDLER PHYSICAL THERAPY, PC

Practice address

243 8TH St Apt 4R
Brooklyn, NY 11215-7229

Phone

(917) 519-1351

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Daniel E Seidler, PT

Title

Owner

Phone

(917) 268-4480

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 2

• Esbo Management Physical Therapy, PC Former legal business name
• Westchester Square Physical Therapy, PC Former legal business name

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1285668152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 8TH ST APT 4R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157229",
            "telephone_number": "917-268-4480",
            "fax_number": "885-554-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 8TH ST APT 4R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157229",
            "telephone_number": "917-519-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N University Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846015648",
            "country_code": "US",
            "telephone_number": "917-268-4480",
            "fax_number": "844-946-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Broad St Ste 2005",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100044109",
            "country_code": "US",
            "telephone_number": "917-268-4480",
            "fax_number": "844-946-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9130 Hypoluxo Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334675285",
            "country_code": "US",
            "telephone_number": "917-268-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5926 Chokecherry Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809194407",
            "country_code": "US",
            "telephone_number": "917-268-4480",
            "fax_number": "844-946-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL SEIDLER PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "SEIDLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-268-4480",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02487790",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03228824",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WZT8J1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015284",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02652913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esbo Management Physical Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Westchester Square Physical Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Westchester Square Physical Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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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 Mar 30, 2021; 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.