Individual provider Active NPI

Valeria Lucia Covello, PTA

  • Physical Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1356884415
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
010678-1 Issued in NY
Practice address
8616 3Rd Ave
Brooklyn, NY 11209-5182
Phone
(718) 833-4656
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 010678-1 NY Primary

Addresses

Primary practice location

8616 3Rd Ave
Brooklyn, NY 11209-5182

Mailing address

2221 63Rd St
Brooklyn, NY 11204-3118
Phone (917) 805-9592

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010678-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1356884415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043118",
            "telephone_number": "917-805-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095182",
            "telephone_number": "718-833-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLO",
        "first_name": "VALERIA",
        "middle_name": "LUCIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010678-1",
            "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 Nov 22, 2016; 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.