Madison Park Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0257241 Issued in NY

Legal business name

MADISON PARK PHYSICAL THERAPY

Practice address

2915 Avenue S
Brooklyn, NY 11229-2544

Phone

(718) 554-3680

Fax

(718) 874-2625

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Angela L Maresca, DPT

Title

Doctor of Physical Therapy

Phone

(718) 554-3680

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1740433259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "718-554-3680",
            "fax_number": "718-874-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "718-554-3680",
            "fax_number": "718-874-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PARK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MARESCA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "718-554-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0257241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundeep Madireddi
• Varun Madireddy, MD
• Humu Madis
• Madison Occupational Therapy Nyc PLLC
• Madison Occupational Therapy, LLC
• Madison Physical Therapy
• Madison Physical Therapy at Brooklyn Heights PC
• Brandon Keith Madison
• Robert I Madison, D.D.S.
• Lisa Amy Madler, OPTICIAN

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.