Active NPI
Michael Stasi, PT,DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1891249348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040658
- Practice address
- 9920 4TH Ave
Brooklyn, NY 11209-8333 - Phone
- (718) 238-9873
- Fax
- (718) 238-9874
- NPI assigned
- Aug 12, 2016
- 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 | 040658 | NY | Primary |
Addresses
Primary practice location
9920 4TH Ave
Brooklyn, NY 11209-8333
Mailing address
1351 Forest Ave
Staten Island, NY 10302-2049
Phone (718) 844-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240201003905 | CA | Practitioner - Physical Therapist in Private Practice | 0345538146 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.D.P.R.G., Inc | Physical Therapist | Current | Accepting new patients |
Locations
5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743
56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Twentynine Palms, CA
- NPI 1295886067
CA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1891249348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022049",
"telephone_number": "718-844-5350",
"fax_number": "718-390-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098333",
"telephone_number": "718-238-9873",
"fax_number": "718-238-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASI",
"first_name": "MICHAEL",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040658",
"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 Aug 12, 2016; 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.