Individual provider Active NPI

David Perez-Herranz, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1932386729
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030017-1 Issued in NY
Practice address
9920 4TH Ave
Suite 102
Brooklyn, NY 11209-8333
Phone
(718) 238-9873
Fax
(718) 238-9359
NPI assigned
Jan 24, 2008
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02028700 NJ
Physical Therapist 225100000X 030017-1 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Suite 102
Brooklyn, NY 11209-8333

Mailing address

981 Rte 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141

Other practice location 1

100 Town Square Pl Ste 403
Jersey City, NJ 07310-2778
Phone (201) 702-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080304000518 NY Practitioner - Physical Therapist in Private Practice 7517042336 Reassigns benefits to 1 organization
I20210924000911 NJ Practitioner - Physical Therapist in Private Practice 7517042336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02028700NJMDPhysical Therapist
030017-1NYMDPhysical Therapist
030017NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 23, 2020 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Sep 23, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

100 Town Square Pl
Ste 403
Jersey City, NJ 07310
Phone (201) 702-8420

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

884 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 244-7004

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

135 E Erie St
Blauvelt, NY 10913
Phone (845) 680-2673

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

201 E 21st St
Apt 1B
New York, NY 10010
Phone (212) 353-5029

1243 Woodrow Rd
Ste 321
Staten Island, NY 10309

1243 Woodrow Rd
Ste 323
Staten Island, NY 10309
Phone (718) 966-0111

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

Organizations & group practices 3

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1932386729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 RTE 22 FL 2",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "201-801-7141",
            "fax_number": "732-218-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-9873",
            "fax_number": "718-238-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Town Square Pl Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073102778",
            "country_code": "US",
            "telephone_number": "201-702-8420",
            "fax_number": "201-702-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-HERRANZ",
        "first_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02028700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030017-1",
            "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, 2021; 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.