Renee Ann Javier Redublo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041248 Issued in NY

Practice address

1345 Avenue of the Americas FL 11
New York, NY 10105-0013

Phone

(212) 981-1977

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1083369920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 HOFFMAN DR APT 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734979",
            "telephone_number": "747-474-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050013",
            "telephone_number": "212-981-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5732 Hoffman Dr Apt 3",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734979",
            "country_code": "US",
            "telephone_number": "747-474-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDUBLO",
        "first_name": "RENEE ANN",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-08-11",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Redmond
• Geoffrey Plimsoll Redmond, MD
• Ilana Prior Redmond, M.D.
• Wendi Jill Rednick, LMSW
• Fran Redstone, PH.D.
• Jorja Redway, PH.D.
• Eldon Anthony Redwood, M.D.
• Emily Avis Redwood, MD
• Sanela Redze, WHNP-BC
• Jana Redzovic

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.