Individual provider Active NPI

Marina Patent, MSPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1073591293
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026542 Issued in NY
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

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20140327000890 NY Practitioner - Physical Therapist in Private Practice 6507097946 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
026542NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marina Patent PTPC CurrentSince Dec 9, 2014 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.

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.

Verify at the official NPI Registry.