Brian S Van Sise, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023122 Issued in NY

Practice address

5010 State Highway 30
Mohawk Valley Medical Arts Building
Amsterdam, NY 12010

Phone

(518) 212-6291

Fax

(518) 212-2222

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Fleming Physical Therapy Consultant PC

  • Physical Therapist
  • Amsterdam, NY
  • NPI 1386941870
  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1477532596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "MOHAWK VALLEY MEDICAL ARTS BUILDING",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-212-6291",
            "fax_number": "518-212-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "MOHAWK VALLEY MEDICAL ARTS BUILDING",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-212-6291",
            "fax_number": "518-212-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SISE",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upstate Ny Doctor of Medicine PLLC
• Upstate Ny Physician PLLC
• Megan Vallee, OTR/L
• Johnathan Valovic
• Benjamine Van Heck, DPT
• Beryle Lee Vananda, MD
• Morgan Vandervort
• Amy L Vanevera
• Douglas J. Vanvorst, D.C.
• Jasmine Vargas

• Physical Therapist in Amsterdam, NY
• Providers in Amsterdam, 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 Dec 1, 2021; 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.