Individual provider Active NPI

Patricia Ann Brancale, M.S.P.T

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1831258193
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022838-1 Issued in NY
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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 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

Enrollment IDStateProvider typePAC IDDetails
I20050912000428 NY Practitioner - Physical Therapist in Private Practice 1153367032 Reassigns benefits to 3 organizations

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
Hudson in Home Physical Therapy PLLCGroup PAC ID 1153584305, 18 clinicians

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

LicenseStateTypeSpecialty
022838NYMDClinical Psychologist
022838-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Aug 26, 2023 Accepting new patients
Union Community Health Center, Inc. CurrentSince Apr 21, 2016 Accepting new patients
Welllife Network Inc CurrentSince Sep 5, 2014 Accepting new patients
Hudson in Home Physical Therapy PLLC Physical Therapist CurrentSince Aug 26, 2023 Accepting new patients
Welllife Network Inc., CurrentSince Sep 5, 2014 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.