Individual provider Active NPI

Camilo Nacatab, PHYSICAL THERAPIST

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780229724
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021893 Issued in NY
Practice address
3226 Kings Hwy
Brooklyn, NY 11234-2655
Phone
(718) 252-9100
Fax
(718) 252-9401
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 021893 NY Primary

Addresses

Primary practice location

3226 Kings Hwy
Brooklyn, NY 11234-2655

Mailing address

8416 57TH Rd FL 3
Elmhurst, NY 11373-4841
Phone (347) 437-9244

Other practice location 1

160 N Franklin St
Hempstead, NY 11550-1322
Phone (347) 437-9244

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021893NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare Medical PC CurrentSince Jul 17, 2021 Accepting new patients
Continental Medical Group PastSince Jul 17, 2021 Accepting new patients

Locations

3226 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-9100

Organizations & group practices 2

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1780229724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 57TH RD FL 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734841",
            "telephone_number": "347-437-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342655",
            "telephone_number": "718-252-9100",
            "fax_number": "718-252-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115501322",
            "country_code": "US",
            "telephone_number": "347-437-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACATAB",
        "first_name": "CAMILO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021893",
            "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 Jul 7, 2021; 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.