Gredda Brumell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00232301 Issued in NY

Practice address

656 Midwood St
Brooklyn, NY 11203-1210

Phone

(718) 715-6844

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Itapin Inc.

  • Physical Therapy Assistant
  • Brooklyn, NY
  • NPI 1538868302
  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1023717899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254804",
            "telephone_number": "718-715-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 MIDWOOD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031210",
            "telephone_number": "718-715-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMELL",
        "first_name": "GREDDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "00232301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Brull
• Shmeil Tzvi Brull
• Charles Kasriel Brum, M.D., PH.D.
• Julia Brum, LMSW
• Sarah M Brum
• Chava Brumer
• Colette Adele Brumfield, LMSW
• Yael Brummelyaelb, MASTERS IN SPECIALED
• Judlyne Brun-Alfaro, N.P.
• Alexander Brun, MD

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.