Organization Active NPI

Smile Home Care Physical Therapy PC

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1336383405
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
028309-1 Issued in NY
Legal business name
SMILE HOME CARE PHYSICAL THERAPY PC
Practice address
444 Avenue X
Apt. 6E
Brooklyn, NY 11223-6053
Phone
(718) 375-4066
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Ms. Tatiana Veller
Title
Physical Therapist
Phone
(718) 375-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 028309-1 NY Primary

Addresses

Primary practice location

444 Avenue X
Apt. 6E
Brooklyn, NY 11223-6053

Mailing address

444 Avenue X
Apt. 6E
Brooklyn, NY 11223-6053
Phone (718) 375-4066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1336383405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 AVENUE X",
            "address_2": "APT. 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236053",
            "telephone_number": "718-375-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 AVENUE X",
            "address_2": "APT. 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236053",
            "telephone_number": "718-375-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE HOME CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "VELLER",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-375-4066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "028309-1",
            "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 Apr 20, 2009; 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.