Organization Active NPI

BP Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1508800350
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023966 Issued in NY
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

Updated by the provider on Jan 31, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
11514299OtherNYCAQH
7795346OtherNYAETNA PPO
8863880OtherNYCIGNA
0021901OtherNYORTHONET
841850OtherNYMPN
2822127OtherNYAETNA HMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.