Ja Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JA PHYSICAL THERAPY PC

Practice address

2799 Coney Island Ave
Brooklyn, NY 11235-5015

Phone

(850) 832-9535

NPI assigned

Feb 15, 2019

Organization subpart

No

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

Authorized official

Name

Joseph Edwin Villacorte Abrenica, BSPT

Title

PT, Owner

Phone

(850) 832-9535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1003372939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22164 59TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641930",
            "telephone_number": "850-832-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355015",
            "telephone_number": "850-832-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "ABRENICA",
        "authorized_official_first_name": "JOSEPH EDWIN",
        "authorized_official_middle_name": "VILLACORTE",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "850-832-9535",
        "authorized_official_credential": "BSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.