Organization Active NPI

Brooklyn Health Physical Therapy, LLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1811212848
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROOKLYN HEALTH PHYSICAL THERAPY, LLC
Practice address
164 20TH St
Suite 2a
Brooklyn, NY 11232-1151
Phone
(347) 529-6465
Fax
(347) 763-0054
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Iselin, PTNPI 1437108263
Title
Physical Therapist
Phone
(347) 529-6465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

164 20TH St
Suite 2a
Brooklyn, NY 11232-1151

Mailing address

164 20TH St
Suite 2a
Brooklyn, NY 11232-1151
Phone (347) 529-6465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610001108 NY Part B Supplier - Clinic/Group Practice 5698805083 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

27 Smith St
Brooklyn, NY 11201
Phone (718) 488-0001

164 20th St
Brooklyn, NY 11232
Phone (718) 431-8725

2281 82nd St
Rm 1
Brooklyn, NY 11214

164 20th St
Ste 2A
Brooklyn, NY 11232
Phone (347) 354-5783

388 Greenwich St
Ofc 1
New York, NY 10013
Phone (212) 816-1400

Interoperability endpoints

  • FHIR API: https://epicproxy.et1043.epichosted.com/FHIRProxy/api/FHIR/R4/

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1811212848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 20TH ST",
            "address_2": "SUITE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321151",
            "telephone_number": "347-529-6465",
            "fax_number": "347-763-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 20TH ST",
            "address_2": "SUITE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321151",
            "telephone_number": "347-529-6465",
            "fax_number": "347-763-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN HEALTH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "ISELIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-529-6465",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.