Organization Active NPI

Staywell Physical Therapy P.C.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1962808014
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
32706 Issued in NY
Legal business name
STAYWELL PHYSICAL THERAPY P.C.
Practice address
19 Battery Ave
1St FL
Brooklyn, NY 11228-3501
Phone
(347) 612-9716
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Ahmed MaatiNPI 1205272887
Title
Physical Therapist
Phone
(347) 612-9716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 32706 NY Primary

Addresses

Primary practice location

19 Battery Ave
1St FL
Brooklyn, NY 11228-3501

Mailing address

19 Battery Ave
1St FL
Brooklyn, NY 11228-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214000311 NY Part B Supplier - Clinic/Group Practice 9032521273 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

11 Ralph Pl
Ste 210
Staten Island, NY 10304
Phone (718) 816-1482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1962808014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BATTERY AVE",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BATTERY AVE",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283501",
            "telephone_number": "347-612-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MAATI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-612-9716"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "32706",
            "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 Nov 17, 2014; 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.