Active NPI
Jaime Tatis, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024760
- Practice address
- 8210 18TH Ave
Brooklyn, NY 11214-2901 - Phone
- (347) 248-6843
- Fax
- (732) 494-0839
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 024760 | NY | Primary |
Addresses
Primary practice location
8210 18TH Ave
Brooklyn, NY 11214-2901
Mailing address
8210 18TH Ave
Brooklyn, NY 11214-2901
Phone (347) 248-6843
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, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2829 Ocean Pkwy
Brooklyn, NY 11235-7869
Phone (718) 232-7778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024760 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab on Wheels OT PT PLLC | Physical Therapist | Current | Accepting new patients |
| Prokinetics Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Resinst, PC | Physical Therapist | Current | Accepting new patients |
| Intermed Care PC | Current | Accepting new patients | |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| East Shore Medical PC | Past | Accepting new patients | |
| Personal Touch Medical Care, P.C. | Past | Accepting new patients | |
| Freedom Physical Therapy, P.C. | Past | Accepting new patients | |
| Douglas O T Services P.C. | Physical Therapist | Past | Accepting new patients |
| Hands on Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170
3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170
8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199
2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112
174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 10
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.
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- Pain Medicine (Physical Medicine & Rehabilitation) Physician
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- NPI 1396783221
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1689600702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112142901",
"telephone_number": "347-248-6843",
"fax_number": "732-494-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112142901",
"telephone_number": "347-248-6843",
"fax_number": "732-494-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATIS",
"first_name": "JAIME",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024760",
"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 Oct 15, 2014; 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.