Active NPI
Brian Mathew
- Physical Therapist
- Huntington, NY
National Provider Identifier
1669911822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040524
- Practice address
- 54 Manchester Rd
Huntington, NY 11743-5532 - Phone
- (631) 549-2099
- NPI assigned
- Feb 20, 2017
- 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 | 040524 | NY | Primary |
Addresses
Primary practice location
54 Manchester Rd
Huntington, NY 11743-5532
Mailing address
54 Manchester Rd
Huntington, NY 11743-5532
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": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1669911822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MANCHESTER RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117435532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MANCHESTER RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117435532",
"telephone_number": "631-549-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.