Active NPI
Jose Philipe Setton Goncalves
- Physical Therapist
- New York, NY
National Provider Identifier
1881071520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038540-1
- Practice address
- 61 Broadway RM 2824
New York, NY 10006-2816 - Phone
- (212) 981-1977
- NPI assigned
- May 1, 2015
- Sex
- Male
- 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 | 038540-1 | NY | Primary |
Addresses
Primary practice location
61 Broadway RM 2824
New York, NY 10006-2816
Mailing address
1140 Edwards Village Blvd
Unit B208
Edwards, CO 81632-5562
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James a Kennedy Physical Therapist PLLC | Past | Accepting new patients | |
| Interfysio, LLC. | Past | Accepting new patients |
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.
-
- Case Management Agency
- New York, NY
- NPI 1790929016
-
- Case Management Agency
- New York, NY
- NPI 1265707780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1881071520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EDWARDS VILLAGE BLVD",
"address_2": "UNIT B208",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BROADWAY RM 2824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062816",
"telephone_number": "212-981-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETTON GONCALVES",
"first_name": "JOSE PHILIPE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038540-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.