Active NPI
James Robert Cruz Cruz, PT
- Physical Therapist
- Beacon, NY
National Provider Identifier
1528664232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 246 Fishkill Ave
Beacon, NY 12508-2068 - Phone
- (443) 974-5869
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
246 Fishkill Ave
Beacon, NY 12508-2068
Mailing address
Poole Road Apt B4
Westminster, MD 21157
Phone (443) 974-5869
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beacon | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1528664232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POOLE ROAD APT B4",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "443-974-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 FISHKILL AVE",
"city": "BEACON",
"state": "NY",
"postal_code": "125082068",
"telephone_number": "443-974-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JAMES ROBERT",
"middle_name": "CRUZ",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Beacon",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Beacon",
"address_1": "246 Fishkill Ave",
"city": "Beacon",
"state": "NY",
"country_code": "US",
"postal_code": "125082068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.