Active NPI
Damas Istrophe
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043939-1
- Practice address
- 54 Murray St
New York, NY 10007-2219 - Phone
- (212) 453-4622
- Fax
- (212) 453-4621
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 043939-1 | NY | Primary |
Addresses
Primary practice location
54 Murray St
New York, NY 10007-2219
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
142 Prospect Park W
Brooklyn, NY 11215-4506
Phone (718) 230-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043939-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients |
Locations
142 Prospect Park W
Brooklyn, NY 11215
Phone (718) 230-1180
973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180
539 Eastern Pkwy
Ste 2A
Brooklyn, NY 11216
Phone (929) 610-6088
25 Flatbush Ave
Ste 3
Brooklyn, NY 11217
Phone (718) 852-2584
1412 Cortelyou Rd
Brooklyn, NY 11226
Phone (347) 699-1011
490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572
81 Court St
Brooklyn, NY 11201
Phone (323) 920-5333
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1609347020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MURRAY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072219",
"telephone_number": "212-453-4622",
"fax_number": "212-453-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISTROPHE",
"first_name": "DAMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043939-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.