Active NPI
Vintagecom
- Physical Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1962943977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Legal business name
- VINTAGECOM
- Practice address
- 1502 E 34TH St
Brooklyn, NY 11234-2602 - Phone
- (718) 840-9004
- Fax
- (347) 462-9879
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Dennis Skeete, AAS
- Title
- Physical Therapist Assistant
- Phone
- (718) 840-9004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
1502 E 34TH St
Brooklyn, NY 11234-2602
Mailing address
1502 E 34TH St
Brooklyn, NY 11234-2602
Phone (718) 840-9004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489622400000",
"number": "1962943977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 E 34TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342602",
"telephone_number": "718-840-9004",
"fax_number": "347-462-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 E 34TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342602",
"telephone_number": "718-840-9004",
"fax_number": "347-462-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINTAGECOM",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-16",
"status": "A",
"authorized_official_last_name": "SKEETE",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "718-840-9004",
"authorized_official_credential": "AAS"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"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 Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.