Individual provider Active NPI

Brian Christopher Farrell, P.T.

  • Physical Therapist
  • Pine Bush, NY
National Provider Identifier
1740359033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021677 Issued in NY
Practice address
127 State Route 302
Pine Bush, NY 12566-7129
Phone
(845) 744-3669
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051118000031 NY Practitioner - Physical Therapist in Private Practice 1355360504 Reassigns benefits to 2 organizations

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
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

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

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Peak Physical Therapy Pine Bush PLLC CurrentSince Sep 19, 2005 Accepting new patients
Montefiore Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Advanced Pain Relief Therapies, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Montefiore Medical Center Physical Therapist PastSince Jul 21, 2024 Accepting new patients
Peak Physical Therapy, PC PastSince Sep 8, 2010 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.

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.

Verify at the official NPI Registry.