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

Last updated

Oct 28, 2008By the provider in NPPES

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, DPTNPI 1427008762

Title

Doctor of Physical Therapy

Phone

(718) 554-3680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela L Maresca, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1427008762
  Authorized official Same address or phone

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.