Provider Demographics
NPI:1194804476
Name:HUGHES, JAMES JOSEPH (BSPT,BSPE,CFTS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:HUGHES
Suffix:
Gender:M
Credentials:BSPT,BSPE,CFTS
Other - Prefix:
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Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE#202
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2948
Mailing Address - Country:US
Mailing Address - Phone:914-961-1010
Mailing Address - Fax:914-961-1011
Practice Address - Street 1:625 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4735
Practice Address - Country:US
Practice Address - Phone:914-965-1435
Practice Address - Fax:914-965-1836
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01754700225100000X
NY015727-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10475256OtherCAQH
NY0401995OtherUS FAMILY-TUCKAHO
NY0401997OtherUS FAMILY HEALTH-ORTHONET MCLEAN AVENUE
NY0401997OtherUS FAMILY-ORTHONET- MCLEAN AVENUE
NY272438120OtherANTHEM BCBS OF NY-AXIOM PT & OT PLUS, GROUP
NY786980OtherOPTUM HEALTH PT AXIOM GRP/FACILIY
NY03282455Medicaid
NY272438120OtherHUDSON HEALTH PLAN AXIOM GRP/FACILITY
NY272438129001OtherHEALTHFIRST NY- AXIOM PT & OT PLUS, LLC-GROUP
NY272438120OtherMULTI-PLAN
NY2343974OtherHUMANA- ALL COMMERCIAL LINES OF BUSINESS
NY786980OtherOPTUM PHYSICAL THERAPY UHC-FACILITY
NY2343974OtherHUMANA
NYCFTS1776OtherAMERICAN BOARD OF ORTHOTICS,PROSTHETICS AND PEDORTHICS, INC
NY0401997OtherAETNA-ORTHONET MCLEAN AVENUE
NY0401997OtherCIGNA GWEST/ORTHONET MCLEAN AVENUE
NY272438120OtherPOMCO- AXIOM PT/OT PLUS
NY809666OtherOPTUM PHYSICAL THERAPY-OXFORD HEALTH -CHILD/FREEDOM/FAMILY/LIBERTY
NY786980OtherOPTUM HEALTH PT AXIOM GRP/FACILIY