Individual provider Active NPI

Inessa Patina, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1154422483
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027006-1 Issued in NY
Practice address
6417 Bay Pkwy
Brooklyn, NY 11204-3930
Phone
(718) 234-6767
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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 027006-1 NY Primary

Addresses

Primary practice location

6417 Bay Pkwy
Brooklyn, NY 11204-3930

Mailing address

160 Nathan Dr
Morganville, NJ 07751-2238
Phone (917) 309-2582

Other names 1

  • Inessa Patina Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000091 NY Practitioner - Physical Therapist in Private Practice 9638111974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Parkway Physicians, PCGroup PAC ID 0345131017, 3 clinicians

Practice addresses (Care Compare)

6417 Bay Pkwy
Brooklyn, NY 11204-4072
Phone (718) 234-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027006-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Parkway Physicians, PC CurrentSince Apr 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1154422483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NATHAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512238",
            "telephone_number": "917-309-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-234-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINA",
        "first_name": "INESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INESSA",
            "last_name": "PATINA",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.