Organization Active NPI

Vintagecom

  • Physical Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1962943977
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
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

Updated by the provider on Mar 16, 2017

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)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.