Individual provider Active NPI

Brian Feng, DPT

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1487211751
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044327 Issued in NY
Practice address
410 Airport Executive Park
Nanuet, NY 10954-5288
Phone
(845) 356-2020
Fax
(845) 356-2044
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044327 NY Primary

Addresses

Primary practice location

410 Airport Executive Park
Nanuet, NY 10954-5288

Mailing address

11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190605000091 NY Practitioner - Physical Therapist in Private Practice 3072846187 Reassigns benefits to 3 organizations
I20240918001058 MA Practitioner - Physical Therapist in Private Practice 3072846187 Reassigns benefits to 1 organization
I20250211001712 NJ Practitioner - Physical Therapist in Private Practice 3072846187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Body Rehabilitation LLCGroup PAC ID 0749401016, 11 clinicians

Practice addresses (Care Compare)

111 Dean Dr
Suite 1N
Tenafly, NJ 07670-2764
Phone (201) 503-7173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 13, 2024 Accepting new patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince May 22, 2019 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 13, 2024 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Mar 19, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

410 Airport Executive Park
Nanuet, NY 10954
Phone (845) 356-2020

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1487211751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545288",
            "telephone_number": "845-356-2020",
            "fax_number": "845-356-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.