Active NPI
Donald George Silvera, PTA
- Physical Therapy Assistant
- New York, NY
National Provider Identifier
1376878488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 002667-1
- Practice address
- 1250 Broadway
New York, NY 10001-3701 - Phone
- (212) 609-7900
- Fax
- (212) 290-1017
- NPI assigned
- Oct 7, 2009
- 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 | 002667-1 | NY | Primary |
Addresses
Primary practice location
1250 Broadway
New York, NY 10001-3701
Mailing address
311 41St St
Copiague, NY 11726-1103
Phone (516) 473-6764
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 |
|---|---|---|---|
| 002667-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1376878488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 41ST ST",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117261103",
"telephone_number": "516-473-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013701",
"telephone_number": "212-609-7900",
"fax_number": "212-290-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERA",
"first_name": "DONALD",
"middle_name": "GEORGE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "002667-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.