Active NPI
Mauro Castelobranco
- Physical Therapy Clinic/Center
- Brooklyn, NY
National Provider Identifier
1952917726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 046177
- Practice address
- 974 Greene Ave Apt 4a
Brooklyn, NY 11221-6313 - Phone
- (347) 362-5717
- NPI assigned
- Sep 17, 2020
- Sex
- Male
- 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 Therapy Clinic/Center | 261QP2000X | 046177 | NY | Primary |
Addresses
Primary practice location
974 Greene Ave Apt 4a
Brooklyn, NY 11221-6313
Mailing address
974 Greene Ave Apt 4a
Brooklyn, NY 11221-6313
Phone (347) 362-5717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046177 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth and Fitness PT OT PLLC | Current | Accepting new patients | |
| Central Park West Physical Therapy PC | Physical Therapy | Current | Accepting new patients |
| Prohealth and Fitness PT OT PLLC | Physical Therapy | Current | Accepting new patients |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapy | Current | Accepting new patients |
Locations
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600
Organizations & group practices 4
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 Therapist
- Great Neck, NY
- NPI 1841526399
Physical Therapy
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1588591929
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1508160581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1952917726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 GREENE AVE APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216313",
"telephone_number": "347-362-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 GREENE AVE APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216313",
"telephone_number": "347-362-5717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELOBRANCO",
"first_name": "MAURO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-17",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "046177",
"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 Jun 11, 2026; 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.