NPIMap

Organization Active NPI

Metro Athletic Medicine &Fitness PC

Doing business as metro sportsmed

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1700039336
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
METRO ATHLETIC MEDICINE &FITNESS PC
Doing business as
metro sportsmed
Practice address
1309 Avenue J
Brooklyn, NY 11230-3605
Phone
(718) 677-7680
Fax
(718) 677-6586
NPI assigned
Oct 28, 2008
Organization subpart
Yes
Parent organization
METRO ATHLETIC MEDICINE &FITNESS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Eudell Hayes
Title
Manager
Phone
(718) 369-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1309 Avenue J
Brooklyn, NY 11230-3605

Mailing address

263 7TH Ave
2A
Brooklyn, NY 11215-3689
Phone (718) 369-8000

Other names 1

  • metro sportsmed Doing business as

National Provider Directory

National Provider Directory
Part of
Metro Sportsmed

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1700039336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153689",
            "telephone_number": "718-369-8000",
            "fax_number": "718-369-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303605",
            "telephone_number": "718-677-7680",
            "fax_number": "718-677-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATHLETIC MEDICINE &FITNESS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO ATHLETIC MEDICINE &FITNESS PC",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "EUDELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-369-8000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metro sportsmed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2009; 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.