Active NPI
Jennifer A. Friedland-Stora, P.T., D.P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1104065747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030431-1
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 030431-1 | NY | MD | Physical 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.