Active NPI
Deshawn Daniel, P.T.A
- Physical Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1720538432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 009506
- Practice address
- 2059 East 55TH Street
Brooklyn, NY 11234-4716 - Phone
- (718) 744-5175
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 009506 | NY | Primary |
Addresses
Primary practice location
2059 East 55TH Street
Brooklyn, NY 11234-4716
Mailing address
2059 E 55TH St
Brooklyn, NY 11234-4716
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 |
|---|---|---|---|
| 009506 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1720538432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2059 E 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2059 EAST 55TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344716",
"telephone_number": "718-744-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "DESHAWN",
"credential": "P.T.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "009506",
"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 Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.