Active NPI
Johnny F Vanegas
- Physical Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1487489183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 01303201
- Practice address
- 984 Nostrand Ave
Brooklyn, NY 11225-2901 - Phone
- (730) 071-8701
- NPI assigned
- Sep 4, 2024
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 01303201 | NY | Primary |
Addresses
Primary practice location
984 Nostrand Ave
Brooklyn, NY 11225-2901
Mailing address
4300 Martha Ave Apt 6L
Bronx, NY 10470-2038
Phone (845) 699-1207
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 |
|---|---|---|---|
| 01303201 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1487489183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MARTHA AVE APT 6L",
"city": "BRONX",
"state": "NY",
"postal_code": "104702038",
"telephone_number": "845-699-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112252901",
"telephone_number": "730-071-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANEGAS",
"first_name": "JOHNNY",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-04",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "01303201",
"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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.