Active NPI
Tamela Dudley, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1437380755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030710
- Practice address
- 400 Wortman Ave
Brooklyn, NY 11207 - Phone
- (646) 239-5227
- NPI assigned
- Aug 4, 2009
- Last updated
- Aug 4, 2009
- Sex
- Female
- 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 | 030710 | NY | Primary |
Addresses
Primary practice location
400 Wortman Ave
Brooklyn, NY 11207
Mailing address
400 Wortman Ave
Brooklyn, NY 11207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030710 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
763 Convery Blvd
Perth Amboy, NJ 08861
Phone (732) 442-1170
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1437380755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WORTMAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WORTMAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11207",
"telephone_number": "646-239-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "TAMELA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030710",
"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 Aug 4, 2009; 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.