Organization Active NPI

SJL Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1144911744
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SJL PHYSICAL THERAPY PC
Practice address
1725 E 12TH St Ste 202
Brooklyn, NY 11229-1068
Phone
(718) 532-4474
Fax
(718) 691-4644
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Sunday Jaranilla LasmariasNPI 1477882124
Title
Owner
Phone
(718) 532-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1725 E 12TH St Ste 202
Brooklyn, NY 11229-1068

Mailing address

1725 E 12TH St Ste 202
Brooklyn, NY 11229-1068
Phone (718) 532-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807001074 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749641744 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1725 E 12th St
Ste 202
Brooklyn, NY 11229
Phone (718) 265-5858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1144911744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "718-532-4474",
            "fax_number": "718-691-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "718-532-4474",
            "fax_number": "718-691-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "JARANILLA LASMARIAS",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-532-4474"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.