Individual provider Active NPI

Jaime Tatis, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1689600702
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024760 Issued in NY
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

Updated by the provider on Oct 15, 2014

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 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

Enrollment IDStateProvider typePAC IDDetails
I20040624001620 NY Practitioner - Physical Therapist in Private Practice 9234115973 Reassigns benefits to 4 organizations

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
Physical Therapy Resinst, PCGroup PAC ID 6305737735, 2 clinicians

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

LicenseStateTypeSpecialty
024760NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Dec 5, 2021 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Physical Therapy Resinst, PC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Intermed Care PC CurrentSince Sep 1, 2014 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
East Shore Medical PC Past Accepting new patients
Personal Touch Medical Care, P.C. PastSince Aug 13, 1996 Accepting new patients
Freedom Physical Therapy, P.C. PastSince Jan 1, 2019 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.

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.

Verify at the official NPI Registry.