Individual provider Active NPI

Brianna Bachelle Arjona, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1033637541
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
40QA02013300 Issued in NJ
Practice address
75 Maiden LN RM 404
New York, NY 10038-4636
Phone
(917) 455-4881
NPI assigned
Sep 5, 2017
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT872138 DC
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 40QA02013300 NJ Primary

Addresses

Primary practice location

75 Maiden LN RM 404
New York, NY 10038-4636

Mailing address

75 Maiden LN RM 404
New York, NY 10038-4636
Phone (917) 455-4881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT872138DCMDPhysical Medicine & Rehabilitation Physician
40QA02013300NJMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revolve Physical Therapy PLLC Current Accepting new patients
Orthology Mid-Atlantic Physical Therapy, Inc. Past Accepting new patients
Sports and Spinal Physical Therapy, Inc. PastSince Feb 28, 2017 Accepting new patients

Locations

75 Maiden Ln
Rm 404
New York, NY 10038
Phone (212) 402-5430

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1033637541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384636",
            "telephone_number": "917-455-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384636",
            "telephone_number": "917-455-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARJONA",
        "first_name": "BRIANNA",
        "middle_name": "BACHELLE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "PT872138",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "40QA02013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.