Home PT of Nyc, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012422-1 Issued in NY

Legal business name

HOME PT OF NYC, PLLC

Practice address

1375 Broadway
FL 3
New York, NY 10018-7001

Phone

(646) 853-5315

Fax

(866) 863-8148

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Job Becerra, P.T.

Title

Owner/Ceo

Phone

(646) 853-5315

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1497063382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 BROADWAY",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187001",
            "telephone_number": "646-853-5315",
            "fax_number": "866-863-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 BROADWAY",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187001",
            "telephone_number": "646-853-5315",
            "fax_number": "866-863-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PT OF NYC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "JOB",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "646-853-5315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012422-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "012422-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q38641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Helper Agency, Inc.
• Home Life Health Care
• Home Life Primary Care & Social Services
• Home Medical Care
• Home Physical Therapy Nyc PLLC
• Home Sleep and Respiratory Care LLC
• Homebird Medical LLC
• Homecare Partners, Inc.
• Homed Inc
• Jillian M Homlish

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.