Individual provider Active NPI

Ernesto Villas

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1720248628
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022729 Issued in NY
Practice address
1711 Sheepshead Bay Rd
Brooklyn, NY 11235-3651
Phone
(347) 495-6566
Fax
(718) 676-5508
NPI assigned
Jun 13, 2008
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 022729-1 NY
Physical Therapist 225100000X 022729 NY Primary

Addresses

Primary practice location

1711 Sheepshead Bay Rd
Brooklyn, NY 11235-3651

Mailing address

5828 44TH Ave Apt 11G
Woodside, NY 11377-7790
Phone (347) 204-6099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000350 NY Practitioner - Physical Therapist in Private Practice 3870659303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Advantage Physical Therapy PCGroup PAC ID 5698818110, 14 clinicians

Practice addresses (Care Compare)

3941 Bea CT
Oceanside, NY 11572-5907
Phone (516) 459-9439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022729-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Physical Therapy PC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Apr 29, 2024 Accepting new patients

Locations

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1720248628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 44TH AVE APT 11G",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777790",
            "telephone_number": "347-204-6099",
            "fax_number": "347-204-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353651",
            "telephone_number": "347-495-6566",
            "fax_number": "718-676-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAS",
        "first_name": "ERNESTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "022729-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022729",
            "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.