Prime Physique Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030276 Issued in NY

Legal business name

PRIME PHYSIQUE PHYSICAL THERAPY

Practice address

229 Jefferson Ave
Brooklyn, NY 11216-1708

Phone

(917) 805-7031

Fax

(718) 679-9214

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Karen Thernelan, D.P.TNPI 1285870279

Title

President; Doctor of PT

Phone

(917) 805-7031

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Thernelan, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1285870279
  NPD (past) Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1114275682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JEFFERSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161708",
            "telephone_number": "917-805-7031",
            "fax_number": "718-679-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JEFFERSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161708",
            "telephone_number": "917-805-7031",
            "fax_number": "718-679-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSIQUE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "THERNELAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT; DOCTOR OF PT",
        "authorized_official_telephone_number": "917-805-7031",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Medcare Supplies LLC
• Prime Medical Services PC
• Prime Medical Supply
• Prime Medical Supply Corp
• Prime Movers Physical Therapy, PLLC
• Prime Quality Medical Care PC
• Prime Rehab PT, PLLC
• Prime Riv
• Prime Specialty Pharmacy LLC
• Prime Surgical Supply Inc

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 15, 2012; 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.