Active NPI
Marina Patent, MSPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1073591293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026542
- Practice address
- 3120 Brighton 5TH St
Suite 1C
Brooklyn, NY 11235-7044 - Phone
- (718) 934-1920
- Fax
- (718) 934-2078
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026542 | NY | Primary |
Addresses
Primary practice location
3120 Brighton 5TH St
Suite 1C
Brooklyn, NY 11235-7044
Mailing address
3115 Brighton 4TH St
Apt. 3B
Brooklyn, NY 11235-7265
Phone (917) 364-5721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3120 Brighton 5TH St
Suite 1C
Brooklyn, NY 11235-7003
Phone (718) 934-1920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026542 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina Patent PTPC | Current | Accepting new patients |
Locations
3120 Brighton 5th St
Ste 1C
Brooklyn, NY 11235
Phone (718) 336-6334
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1235537226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1073591293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 BRIGHTON 4TH ST",
"address_2": "APT. 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357265",
"telephone_number": "917-364-5721",
"fax_number": "718-934-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 BRIGHTON 5TH ST",
"address_2": "SUITE 1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357044",
"telephone_number": "718-934-1920",
"fax_number": "718-934-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATENT",
"first_name": "MARINA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026542",
"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 Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.