Active NPI
Brian Christopher Farrell, P.T.
- Physical Therapist
- Pine Bush, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021677
- Practice address
- 127 State Route 302
Pine Bush, NY 12566-7129 - Phone
- (845) 744-3669
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 021677 | NY | Primary |
Addresses
Primary practice location
127 State Route 302
Pine Bush, NY 12566-7129
Mailing address
127 State Route 302
Pine Bush, NY 12566-7129
Phone (845) 744-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
127 State Route 302
Suite 2
Pine Bush, NY 12566-7134
Phone (845) 744-3669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Peak Physical Therapy Pine Bush PLLC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Advanced Pain Relief Therapies, Inc. | Current | Accepting new patients | |
| Montefiore Medical Center | Physical Therapist | Past | Accepting new patients |
| Peak Physical Therapy, PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
127 State Route 302
Pine Bush, NY 12566
Phone (845) 524-4919
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Clinic/Center
- Pine Bush, NY
- NPI 1144329194
-
- Pain Clinic/Center
- Pine Bush, NY
- NPI 1205347788
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- Newburgh, NY
- NPI 1376380832
-
- Physical Therapy Clinic/Center
- Newburgh, NY
- NPI 1780617431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740359033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 STATE ROUTE 302",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667129",
"telephone_number": "845-744-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 STATE ROUTE 302",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667129",
"telephone_number": "845-744-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.