Active NPI
BP Physical Therapy PC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1508800350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023966
- Legal business name
- BP PHYSICAL THERAPY PC
- Practice address
- 690 Metropolitan Ave
Brooklyn, NY 11211-3712 - Phone
- (718) 388-8888
- Fax
- (718) 388-3709
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adonis Abril Quiambao
- Title
- Principal Officer/Owner
- Phone
- (201) 936-0565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023966 | NY | Primary |
Addresses
Primary practice location
690 Metropolitan Ave
Brooklyn, NY 11211-3712
Mailing address
690 Metropolitan Ave
Brooklyn, NY 11211-3712
Phone (718) 388-8888
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11514299 | Other | NY | CAQH |
| 7795346 | Other | NY | AETNA PPO |
| 8863880 | Other | NY | CIGNA |
| 0021901 | Other | NY | ORTHONET |
| 841850 | Other | NY | MPN |
| 2822127 | Other | NY | AETNA HMO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1003880188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1508800350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 METROPOLITAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112113712",
"telephone_number": "718-388-8888",
"fax_number": "718-388-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 METROPOLITAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112113712",
"telephone_number": "718-388-8888",
"fax_number": "718-388-3709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BP PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "QUIAMBAO",
"authorized_official_first_name": "ADONIS",
"authorized_official_middle_name": "ABRIL",
"authorized_official_title_or_position": "PRINCIPAL OFFICER/OWNER",
"authorized_official_telephone_number": "201-936-0565",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "023966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11514299",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7795346",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8863880",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "0021901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "841850",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2822127",
"state": "NY"
}
],
"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 Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.