Individual provider Active NPI

Jonathan Raphael Locitzer, D.P.T

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1326218678
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029536-1 Issued in NY
Practice address
509 Court St
Brooklyn, NY 11231-3909
Phone
(914) 815-2739
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 029536-1 NY Primary

Addresses

Primary practice location

509 Court St
Brooklyn, NY 11231-3909

Mailing address

121 Rapelye St 3
Brooklyn, NY 11231-2697
Phone (914) 815-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201001494 NY Practitioner - Physical Therapist in Private Practice 6901075076 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 1St PL
Brooklyn, NY 11231-5120
Phone (347) 294-0795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029536-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Locitzer Physical Therapy P.C Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients

Locations

185 Degraw St
Brooklyn, NY 11231
Phone (347) 294-0795

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1326218678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RAPELYE ST 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312697",
            "telephone_number": "914-815-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313909",
            "telephone_number": "914-815-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCITZER",
        "first_name": "JONATHAN",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029536-1",
            "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 Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.