BRIAN CONNOLLY (NPI# 1720230600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720230600 |
| Entity Type | Individual |
| Full Name | BRIAN CONNOLLY |
| Credential | MS,PT |
| Practice Address |
2901 216th St Bayside NY 11360-2810 |
| Practice Telephone | 7182818885 |
| Mailing Telephone | 7182818885 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
028119-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625876 | Brian Joseph Connolly Jr. | Pharmacist | 23 Estaugh Ave, Haddonfield, NJ 08033-2505 | 2020-10-06 |
| 1497110688 | Brian Connolly | Family Medicine | 181 Brand Rd, Malone, NY 12953-2945 | 2015-12-15 |
| 1578955076 | Brian Connolly | Physical Therapist | 6048 W Highway 74, Indian Trail, NC 28079-3591 | 2015-02-21 |
| 1922024926 | Brian Knudsen Connolly | Physician Assistant | 8151 Arlington Ave, Suites U-v, Riverside, CA 92503-0436 | 2006-07-14 |
| 1104815208 | Brian A Connolly | Psychiatry & Neurology | 189 Townsend St, Ste 300, Birmingham, MI 48009-6008 | 2005-10-20 |
| 1447898440 | Brian Connolly | Pharmacist | 3424 Kossuth Ave, Bronx, NY 10467-2489 | 2019-12-20 |
| 1760972673 | Brian Ryder Connolly | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2018-05-16 |
| 1982011797 | Brian Michael Connolly | Dermatology | 609 S Main St, Wolfeboro, NH 03894 | 2014-07-14 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1245524214 | Brian James Connolly | Emergency Medicine | 1 Hospital Dr, Emergency Department, Lewisburg, PA 17837-9350 | 2011-06-07 |
| Street Address |
2901 216TH ST |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794798 | Paul Michael Berger-gross | Clinical Neuropsychologist | 2901 216th St, Bayside, NY 11360-2810 | 2005-07-21 |
| 1891308409 | Kristina Hartig | Nurse Practitioner | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-25 |
| 1417567991 | Angela Sora Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-09 |
| 1801411053 | Mary Beth Hollywood | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-06-13 |
| 1174145486 | Savannah Rose Yablonski | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2020-05-08 |
| 1780229179 | Dilia Rivera | Dietitian, Registered | 2901 216th St, Bayside, NY 11360-2810 | 2019-11-09 |
| 1003374737 | Natasha Hayden | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2019-03-12 |
| 1649746595 | Samantha Petrakis | Nursing Care | 2901 216th St, Bayside, NY 11360-2810 | 2018-10-18 |
| 1447745070 | Sheena Coley | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-06-26 |
| 1184126104 | Zhiling Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518111889 | Susan Hing Keung | Physical Therapist | 21619 31st Rd, Bayside, NY 11360-2802 | 2008-11-12 |
| 1801046644 | Giovanni Meli | Physical Therapist | 3511 210th St, Bayside, NY 11361-1438 | 2008-09-29 |
| 1154461713 | Daria Michelle Lerro | Physical Therapist | 20001 42nd Ave, Bayside, NY 11361-1872 | 2007-02-06 |
| 1598732620 | Jing Shan | Physical Therapist | 2415 Bell Blvd, Bayside, NY 11360-2222 | 2006-03-07 |
| 1205187192 | Ashley Sigman | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2012-10-02 |
| 1093022766 | Joanna Dora Kiman | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2010-09-01 |
| 1922253004 | Prospera Wu | Physical Therapist | 20001 42nd Ave, Bayside, NY 11361-1872 | 2008-11-17 |
| 1821241159 | Brigid Tobin | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2008-10-30 |
| 1013160803 | Kathleen Helen Schuppert | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
| 1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
| 1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
| 1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
| 1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.