Active NPI
John Karoor Thomas, MA PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1770726937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011242
- Practice address
- 5811 Hylan Blvd
Staten Island
Staten Island, NY 10309-3909 - Phone
- (718) 966-8651
- Fax
- (718) 966-2699
- NPI assigned
- Apr 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 011242 | NY | Primary |
Addresses
Primary practice location
5811 Hylan Blvd
Staten Island
Staten Island, NY 10309-3909
Mailing address
5811 Hylan Blvd
Staten Island
Staten Island, NY 10309-3909
Phone (718) 966-8651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q30261 | Other | NY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011242 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1770726937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 HYLAN BLVD",
"address_2": "STATEN ISLAND",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093909",
"telephone_number": "718-966-8651",
"fax_number": "718-966-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5811 HYLAN BLVD",
"address_2": "STATEN ISLAND",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093909",
"telephone_number": "718-966-8651",
"fax_number": "718-966-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHN",
"middle_name": "KAROOR",
"name_prefix": "Mr.",
"credential": "MA PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q30261",
"state": "NY"
}
],
"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 Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.