Brewster Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

008679 Issued in NY

Legal business name

BREWSTER PHYSICAL THERAPY, P.C.

Practice address

211 Clock Tower Commons
Brewster, NY 10509-4057

Phone

(845) 278-4127

Fax

(845) 278-4128

NPI assigned

Jul 28, 2008

Last updated

Jul 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dominic James Capone, M.S., P.T.NPI 1144421553

Title

President

Phone

(845) 278-4127

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominic James Capone, M.S., P.T.

  • Specialist
  • Brewster, NY
  • NPI 1144421553
  Medicare reassignment NPD Authorized official
• Jose Reyes, PT, DPT

  • Physical Therapist
  • Brewster, NY
  • NPI 1265001952
  NPD
• Fernando E Solis, PT DPT

  • Physical Therapist
  • Brewster, NY
  • NPI 1255001293
  NPD

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1497910616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CLOCK TOWER COMMONS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094057",
            "telephone_number": "845-278-4127",
            "fax_number": "845-278-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CLOCK TOWER COMMONS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094057",
            "telephone_number": "845-278-4127",
            "fax_number": "845-278-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "CAPONE",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-278-4127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "008679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMINIC JAMES CAPONE, M.S., P.T.",
            "identifier": "1144421553",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUSAN DALLMANN LAMBROS, P.T., M.S.",
            "identifier": "1215113139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brewster Central School District
• Brewster Central School District
• Brewster Family and Cosmetic Dental PC
• Brewster Family and Cosmetic Dental PC
• Brewster Family Dental, PLLC
• Brewster Southeast EMS Inc.
• Gail Brick, LCSW-R
• Angela Marie Brogan, M.S. SLP
• Maureen Brooks
• Gabriel Dean Brown, M.D.

• Physical Therapy Clinic/Center in Brewster, NY
• Providers in Brewster, 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 Jul 28, 2008; 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.

Verify at the official NPI Registry.