Active NPI
Andy Torres, PTA
- Physical Therapy Assistant
- Staten Island, NY
National Provider Identifier
1366913899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 009750-1
- Practice address
- 15 Kristen CT
Staten Island, NY 10304-2637 - Phone
- (917) 208-4710
- NPI assigned
- Dec 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 009750-1 | NY | Primary |
Addresses
Primary practice location
15 Kristen CT
Staten Island, NY 10304-2637
Mailing address
15 Kristen CT
Staten Island, NY 10304-2637
Phone (917) 208-4710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009750-1 | NY | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1366913899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 KRISTEN CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042637",
"telephone_number": "917-208-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 KRISTEN CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042637",
"telephone_number": "917-208-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "ANDY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "009750-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.