Individual provider Active NPI

Dawid Holas, MASTERS

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1669021465
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044791 Issued in NY
Practice address
165 Division Ave
Brooklyn, NY 11211-7105
Phone
(718) 253-8000
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 044791 NY Primary

Addresses

Primary practice location

165 Division Ave
Brooklyn, NY 11211-7105

Mailing address

6827 76TH St
Middle Village, NY 11379-2826
Phone (929) 525-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Division Ave
Brooklyn, NY 11211-7105

255 Chestnut St
Lakewood, NJ 08701-5808

6827 76TH St
Middle Village, NY 11379-2826

8931 161St St
Jamaica, NY 11432-6140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockaway Park Physical Therapy PLLC Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

6805 Main St
Flushing, NY 11367
Phone (718) 263-2606

10322 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (516) 937-8975

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1669021465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 76TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792826",
            "telephone_number": "929-525-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DIVISION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117105",
            "telephone_number": "718-253-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAS",
        "first_name": "DAWID",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044791",
            "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 Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.