Individual provider Active NPI

Brian Veras, PT, DPT,MS, LAT, ATC

  • Orthopedic Physical Therapist
  • Allentown, PA
National Provider Identifier
1710539978
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT030917 Issued in PA
Practice address
26 N 6TH St Apt 268
Allentown, PA 18101-1430
Phone
(908) 328-4318
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT007335 PA
Orthopedic Physical Therapist 2251X0800X PT030917 PA Primary

Addresses

Primary practice location

26 N 6TH St Apt 268
Allentown, PA 18101-1430

Mailing address

69 Sowers Dr
Hackettstown, NJ 07840-7625
Phone (908) 328-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002224 NJ Practitioner - Physical Therapist in Private Practice 5193182608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT030917PAMDOrthopedic Physical Therapist
RT007335PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc Orthopedic CurrentSince Oct 21, 2024 Accepting new patients
Ivyrehab Network Inc. Orthopedic Current Accepting new patients
Ivyrehab Network, Inc. Orthopedic CurrentSince Oct 21, 2024 Accepting new patients

Locations

95 W Main St
Ste 1
Chester, NJ 07930
Phone (908) 879-7364

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

Interoperability endpoints

  • Direct secure messaging: brian.veras.p1@direct.udel.nextgenshare.com

Organizations & group practices 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1710539978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SOWERS DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078407625",
            "telephone_number": "908-328-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N 6TH ST APT 268",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011430",
            "telephone_number": "908-328-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERAS",
        "first_name": "BRIAN",
        "credential": "PT, DPT,MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007335",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT030917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.