Individual provider Active NPI

Anna Katherine Escobinas De Villa, RPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1700557592
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040249 Issued in NY
Practice address
1072 Havemeyer Ave
Bronx, NY 10462-5310
Phone
(914) 987-0730
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 040249 NY Primary

Addresses

Primary practice location

1072 Havemeyer Ave
Bronx, NY 10462-5310

Mailing address

135 Wallace St FL 2
Tuckahoe, NY 10707-3035
Phone (914) 987-0730

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outcome Physical Therapy, PLLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Sep 22, 2021 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Sep 28, 2021 Accepting new patients

Locations

3765 Riverdale Ave
Ste 5
Bronx, NY 10463
Phone (718) 543-3181

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1700557592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALLACE ST FL 2",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073035",
            "telephone_number": "914-987-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625310",
            "telephone_number": "914-987-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VILLA",
        "first_name": "ANNA KATHERINE",
        "middle_name": "ESCOBINAS",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040249",
            "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 Sep 22, 2021; 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.