NPIMap

Organization Active NPI

Physical Therapy of Brooklyn PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1710155833
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0084931 Issued in NY
Legal business name
PHYSICAL THERAPY OF BROOKLYN PLLC
Practice address
2914 Avenue R
Brooklyn, NY 11229-2524
Phone
(718) 645-4120
Fax
(718) 645-4101
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Ms. Diane Davison, PTNPI 1619091683
Title
Owner
Phone
(718) 645-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0084931 NY Primary

Addresses

Primary practice location

2914 Avenue R
Brooklyn, NY 11229-2524

Mailing address

2914 Avenue R
Brooklyn, NY 11229-2524
Phone (718) 645-4120

Other names 1

  • Excel Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2914 Avenue R
Brooklyn, NY 11229
Phone (718) 645-4120

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1710155833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 AVENUE R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292524",
            "telephone_number": "718-645-4120",
            "fax_number": "718-645-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 AVENUE R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292524",
            "telephone_number": "718-645-4120",
            "fax_number": "718-645-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF BROOKLYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-4120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0084931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Physical Therapy",
            "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 Feb 11, 2008; 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.