Active NPI
John Thomas
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1750506853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039429
- Practice address
- 25 Fanning St
Staten Island, NY 10314-5307 - Phone
- (718) 289-7004
- NPI assigned
- Apr 16, 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 | 039429 | NY | Primary |
Addresses
Primary practice location
25 Fanning St
Staten Island, NY 10314-5307
Mailing address
657 Collfield Ave
Staten Island, NY 10314-4258
Phone (718) 619-0170
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
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 W 16TH St
Apt 4PN
New York, NY 10011-0173
Phone (855) 678-8887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab Ny LLC | Physical Therapist | Current | Accepting new patients |
| Prestige Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Rehab on Wheels OT PT PLLC | Physical Therapist | Current | Accepting new patients |
| Prokinetics Physical Therapy P.C. | Physical Therapist | Past | Accepting new patients |
| N/a | Past | Accepting new patients |
Locations
8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199
174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1134676588
-
- Physical Therapist
- New York, NY
- NPI 1649005778
-
- Physical Therapist
- Brooklyn, NY
- NPI 1922412220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1750506853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 COLLFIELD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144258",
"telephone_number": "718-619-0170",
"fax_number": "718-698-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FANNING ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145307",
"telephone_number": "718-289-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.