Organization Active NPI

Rehab 360 Physical Therapy and Occupational Therapy PLLC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1356864177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019621-1
Legal business name
REHAB 360 PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Practice address
71 Carroll St
Brooklyn, NY 11231-2767
Phone
(718) 797-9797
Fax
(718) 797-9796
NPI assigned
Jul 24, 2017
Organization subpart
Yes
Parent organization
PROKINETICS PHYSICAL THERAPY P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Catherine Addonizio, DPT
Title
Physical Therapist / President
Phone
(718) 797-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 019621-1 Primary

Addresses

Primary practice location

71 Carroll St
Brooklyn, NY 11231-2767

Mailing address

71 Carroll St
Brooklyn, NY 11231-2767
Phone (718) 797-9797

National Provider Directory

National Provider Directory
Part of
Prokinetics Physical Therapy PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356864177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312767",
            "telephone_number": "718-797-9797",
            "fax_number": "718-797-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312767",
            "telephone_number": "718-797-9797",
            "fax_number": "718-797-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB 360 PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROKINETICS PHYSICAL THERAPY P.C.",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADDONIZIO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / PRESIDENT",
        "authorized_official_telephone_number": "718-797-9797",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "019621-1",
            "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 21, 2022; 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.