Individual provider Active NPI

Frances Pertubal, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1124254685
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030888 Issued in NY
Practice address
3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422
Phone
(718) 548-1212
Fax
(718) 548-1900
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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 030888 NY Primary

Addresses

Primary practice location

3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422

Mailing address

3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422
Phone (718) 548-1212

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Physical Rehab Past Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1124254685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTUBAL",
        "first_name": "FRANCES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.