Active NPI
Huma Imtiaz
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1780492363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040752
- Practice address
- 8845 19TH Ave
Brooklyn, NY 11214-6008 - Phone
- (973) 931-6597
- NPI assigned
- Dec 27, 2024
- Last updated
- Dec 27, 2024
- Sex
- Female
- 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 | 040752 | NY | Primary |
Addresses
Primary practice location
8845 19TH Ave
Brooklyn, NY 11214-6008
Mailing address
8845 19TH Ave
Brooklyn, NY 11214-6008
Phone (973) 931-6597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
280 W 231St St
Bronx, NY 10463-3940
9 -Bodwell Terrace
Millburn, NJ 07041-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1780492363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8845 19TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146008",
"telephone_number": "973-931-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8845 19TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146008",
"telephone_number": "973-931-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMTIAZ",
"first_name": "HUMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040752",
"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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.