Active NPI
Brian Anthony Herrera, DPT, MSPT
- Physical Therapist
- Manhasset, NY
National Provider Identifier
1376593855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023499
- Practice address
- 50 Maple PL
Manhasset, NY 11030-1927 - Phone
- (516) 682-8560
- Fax
- (516) 682-8562
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 023499 | NY | Primary |
Addresses
Primary practice location
50 Maple PL
Manhasset, NY 11030-1927
Mailing address
27 Badger Rd
Suite 103
Manorville, NY 11949-3201
Phone (516) 682-8560
Other practice location 1
715 Roanoke Ave
Riverhead, NY 11901-2769
Phone (631) 475-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023499 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Sherrie Glasser, Physical Therapist. PC | Physical Therapist | Past | Accepting new patients |
Locations
285 Sills Rd
Bldg 5-6B
East Patchogue, NY 11772
Phone (631) 475-2858
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
Organizations & group practices 4
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.
-
- Physical Therapist
- Holbrook, NY
- NPI 1326355132
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
- Physical Therapist
- Garden City, NY
- NPI 1912099540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1376593855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BADGER RD",
"address_2": "SUITE 103",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493201",
"telephone_number": "516-682-8560",
"fax_number": "516-682-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAPLE PL",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110301927",
"telephone_number": "516-682-8560",
"fax_number": "516-682-8562"
}
],
"practiceLocations": [
{
"address_1": "715 Roanoke Ave",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012769",
"country_code": "US",
"telephone_number": "631-475-1224",
"fax_number": "631-475-1588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "BRIAN",
"middle_name": "ANTHONY",
"credential": "DPT, MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.