Active NPI
Marvin Villarreiz, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1700226776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025445
- Practice address
- 660 Louisiana Ave
Brooklyn, NY 11239-1526 - Phone
- (718) 669-7132
- Fax
- (718) 669-7549
- NPI assigned
- Jul 5, 2013
- 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 | 025445 | NY | Primary |
Addresses
Primary practice location
660 Louisiana Ave
Brooklyn, NY 11239-1526
Mailing address
188 Green Acres Rd
Valley Stream, NY 11581-1506
Phone (516) 593-3460
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025445 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1700226776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 GREEN ACRES RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811506",
"telephone_number": "516-593-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 LOUISIANA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112391526",
"telephone_number": "718-669-7132",
"fax_number": "718-669-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREIZ",
"first_name": "MARVIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025445",
"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 Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.