Active NPI
Irina Taranenko, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1114485604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042332
- Practice address
- 142 Prospect Park W
Brooklyn, NY 11215-4506 - Phone
- (718) 398-8800
- NPI assigned
- Mar 4, 2019
- 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 | 042332 | NY | Primary |
Addresses
Primary practice location
142 Prospect Park W
Brooklyn, NY 11215-4506
Mailing address
190 72ND St Apt 185
Brooklyn, NY 11209-2079
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 |
|---|---|---|---|
| 042332 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1114485604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 72ND ST APT 185",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 PROSPECT PARK W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154506",
"telephone_number": "718-398-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANENKO",
"first_name": "IRINA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042332",
"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 Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.