Active NPI
Patricia Ann Brancale, M.S.P.T
- Physical Therapist
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022838-1
- Practice address
- 1043 48TH Ave
Long Island City, NY 11101-5607 - Phone
- (718) 943-7100
- Fax
- (718) 786-9798
- NPI assigned
- Dec 6, 2006
- Last updated
- Mar 9, 2009
- Sex
- Female
- 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 | 022838-1 | NY | Primary |
Addresses
Primary practice location
1043 48TH Ave
Long Island City, NY 11101-5607
Mailing address
1043 48TH Ave
Long Island City, NY 11101-5607
Phone (718) 943-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Blackstone PL
Bronx, NY 10471-3607
Phone (347) 947-3132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022838 | NY | MD | Clinical Psychologist |
| 022838-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson in Home Physical Therapy and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Union Community Health Center, Inc. | Current | Accepting new patients | |
| Welllife Network Inc | Current | Accepting new patients | |
| Hudson in Home Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Welllife Network Inc., | Current | Accepting new patients | |
| Michael S. Brown Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
| Welllife Network Inc. | Past | Accepting new patients |
Locations
2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800
260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236
14202 20th Ave
#3
Flushing, NY 11351
14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516
800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450
20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- patricia.brancale.1@18107.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bronx, NY
- NPI 1760748735
-
- Clinic/Center
- Bronx, NY
- NPI 1437255155
-
- Clinic/Center
- Huntington, NY
- NPI 1932125721
-
- Physical Therapist
- Long Island City, NY
- NPI 1699871780
-
- Physical Rehabilitation Occupational Therapist
- Bronx, NY
- NPI 1366197758
Physical Therapist
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
dba Island Rehabilitation Associates
- Physical Therapist
- West Hempstead, NY
- NPI 1215079926
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1831258193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 48TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015607",
"telephone_number": "718-943-7100",
"fax_number": "718-786-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 48TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015607",
"telephone_number": "718-943-7100",
"fax_number": "718-786-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCALE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022838-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.