Matheresa Revamuntan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2273 65TH St
Brooklyn, NY 11204-4086

Phone

(718) 236-4970

Fax

(718) 621-9302

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Wa PCGroup PAC ID 4284015330, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Wa, PC

  • Multi-Specialty Clinic/Center
  • Issaquah, WA
  • NPI 1821748112

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1396989877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742824",
            "telephone_number": "917-226-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044086",
            "telephone_number": "718-236-4970",
            "fax_number": "718-621-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAMUNTAN",
        "first_name": "MATHERESA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Retta
• Susan Ilsa Rettek Hochberg, PH.D.
• Alizza Retter, PA-C
• Kelly Reuter, LCSW
• Marissa Ann Reuter, AU.D., CCC-A
• Ana Revazishvili
• Revcore Recovery Center of Manhattan, LLC
• Revealing His Face Inc
• Emma Nicole Revelant, DNP, CNM, BSN, RN
• Hector Revelo

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.