Individual provider Active NPI

Jennifer A. Friedland-Stora, P.T., D.P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1104065747
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030431-1 Issued in NY
Practice address
130 72ND St Apt 4J
Brooklyn, NY 11209-2005
Phone
(347) 497-4460
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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 030431-1 NY Primary

Addresses

Primary practice location

130 72ND St Apt 4J
Brooklyn, NY 11209-2005

Mailing address

130 72ND St Apt 4J
Apartment 4J
Brooklyn, NY 11209-2005
Phone (347) 497-4460

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
030431-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1104065747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 72ND ST APT 4J",
            "address_2": "APARTMENT 4J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092005",
            "telephone_number": "347-497-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 72ND ST APT 4J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092005",
            "telephone_number": "347-497-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND-STORA",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030431-1",
            "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 Feb 4, 2009; 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.