Individual provider Active NPI

Aaron Kattan

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780223669
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045212 Issued in NY
Practice address
6220 14TH Ave
Brooklyn, NY 11219-5337
Phone
(718) 331-1624
NPI assigned
Dec 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2019

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 045212 NY Primary

Addresses

Primary practice location

6220 14TH Ave
Brooklyn, NY 11219-5337

Mailing address

128 Fairview Ave
Great Neck, NY 11023-1334
Phone (516) 302-6486

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

State licenses

LicenseStateTypeSpecialty
045212NYMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Physical Therapy, PLLC Physical Therapist CurrentSince Feb 11, 2020 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Feb 1, 2021 Accepting new patients
Yad OT PT PLLC Physical Therapist Past Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

1716 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 336-4900

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577232000000",
    "number": "1780223669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAIRVIEW AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231334",
            "telephone_number": "516-302-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195337",
            "telephone_number": "718-331-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAN",
        "first_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.