Individual provider Active NPI

Kevin Llorente, RPT

  • Athletic Trainer
  • Brooklyn, NY
National Provider Identifier
1043816416
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
046763 Issued in NY
Practice address
1178 Flatbush Ave
Brooklyn, NY 11226-7005
Phone
(718) 940-8100
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 046763 NY Primary

Addresses

Primary practice location

1178 Flatbush Ave
Brooklyn, NY 11226-7005

Mailing address

117 Magnolia Ave Apt 2LR
Jersey City, NJ 07306-1866
Phone (347) 581-3556

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJS Physical Medicine and Rehabilitation, PC CurrentSince Dec 13, 2020 Accepting new patients
South Island Orthopedics, P.C. PastSince Dec 13, 2020 Accepting new patients

Locations

1178 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 940-8100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1043816416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAGNOLIA AVE APT 2LR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061866",
            "telephone_number": "347-581-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267005",
            "telephone_number": "718-940-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLORENTE",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "046763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.