Organization Active NPI

Core Rehab PT Services PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1568843373
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022729-1 Issued in NY
Legal business name
CORE REHAB PT SERVICES PC
Practice address
3041 Brighton 2ND St
Brooklyn, NY 11235-7453
Phone
(347) 204-6099
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mr. Ernesto N Villas, PT
Title
President
Phone
(347) 204-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 022729-1 NY Primary

Addresses

Primary practice location

3041 Brighton 2ND St
Brooklyn, NY 11235-7453

Mailing address

3041 Brighton 2ND St
Brooklyn, NY 11235-7453
Phone (347) 204-6099

National Provider Directory

National Provider Directory

Locations

3041 Brighton 2nd St
Ste 1
Brooklyn, NY 11235
Phone (718) 484-3131

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1568843373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BRIGHTON 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357453",
            "telephone_number": "347-204-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BRIGHTON 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357453",
            "telephone_number": "347-204-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHAB PT SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "VILLAS",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-204-6099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022729-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2015; 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.