Active NPI
Sophie D'Souza
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1942080155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051290
- Practice address
- 165 Smith St
Brooklyn, NY 11201-6337 - Phone
- (718) 795-2744
- NPI assigned
- Oct 4, 2023
- 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 | 051290 | NY | Primary |
Addresses
Primary practice location
165 Smith St
Brooklyn, NY 11201-6337
Mailing address
165 Smith St
Brooklyn, NY 11201-6337
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
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
166 Smith St
Brooklyn, NY 11201-6986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051290 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynergy Physical Therapy Grand Central PLLC | Physical Therapist | Current | Accepting new patients |
Locations
165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1023777232
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1942080155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016337",
"telephone_number": "718-795-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'SOUZA",
"first_name": "SOPHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "051290",
"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 Oct 4, 2023; 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.