Individual provider Active NPI

Bree Anna Pisacane, PT

  • Physical Therapist
  • Gansevoort, NY
National Provider Identifier
1649424235
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017812-1 Issued in NY
Practice address
246 Brownville Rd
Gansevoort, NY 12831-2150
Phone
(518) 798-0625
Fax
(518) 798-0625
NPI assigned
Nov 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 017812-1 NY Primary

Addresses

Primary practice location

246 Brownville Rd
Gansevoort, NY 12831-2150

Mailing address

246 Brownville Rd
Gansevoort, NY 12831-2150
Phone (518) 798-0625

Other names 1

  • Miss Bree Anna Harrica Former name

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

State licenses

LicenseStateTypeSpecialty
017812-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progression in Motion, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1649424235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BROWNVILLE RD",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312150",
            "telephone_number": "518-798-0625",
            "fax_number": "518-798-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BROWNVILLE RD",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312150",
            "telephone_number": "518-798-0625",
            "fax_number": "518-798-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISACANE",
        "first_name": "BREE",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017812-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREE",
            "last_name": "HARRICA",
            "middle_name": "ANNA",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gansevoort, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.