Individual provider Active NPI

Trevor Harewood

  • Physical Therapy Assistant
  • Bronx, NY
National Provider Identifier
1679934715
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
001547 Issued in NY
Practice address
1250 Waters PL Ste 501
WSPT
Bronx, NY 10461-2732
Phone
(718) 409-9444
NPI assigned
Mar 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001547 NY Primary

Addresses

Primary practice location

1250 Waters PL Ste 501
WSPT
Bronx, NY 10461-2732

Mailing address

1250 Waters PL Ste 501
WSPT
Bronx, NY 10461-2732
Phone (718) 409-9444

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001547NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1679934715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 501",
            "address_2": "WSPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612732",
            "telephone_number": "718-409-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 501",
            "address_2": "WSPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612732",
            "telephone_number": "718-409-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREWOOD",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "001547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.