Active NPI
Jose Icasas, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1316966609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022916
- Practice address
- 57 W 57TH St
Suite 1702
New York, NY 10019-2802 - Phone
- (212) 757-1157
- Fax
- (212) 757-7197
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022916 | NY | Primary |
Addresses
Primary practice location
57 W 57TH St
Suite 1702
New York, NY 10019-2802
Mailing address
57 W 57TH St
Suite 1702
New York, NY 10019-2802
Phone (212) 757-1157
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Manhattan Physical Therapy & Sports Rehab., P.C. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- New York, NY
- NPI 1558403980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1316966609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W 57TH ST",
"address_2": "SUITE 1702",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "212-757-1157",
"fax_number": "212-757-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W 57TH ST",
"address_2": "SUITE 1702",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192802",
"telephone_number": "212-757-1157",
"fax_number": "212-757-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICASAS",
"first_name": "JOSE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Icahn School of Medicine at Mount Sinai Cvi Center for Health at Mt Si
- Icahn School of Medicine at Mount Sinai Nyee Faculty Practice
- Icahn School of Medicine of Mount Sinai
- Icare of New York Ipa LLC
- Icare Therapy LLC
- Evelyn J Icasiano, MD
- Icd Center
- Icd International Center for the Disabled
- Icd International Center for the Disabled
- Icd International Center for the Disabled
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.