Individual provider Active NPI

Jean L Minkel, PT

  • Neurology Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1154760122
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
008801-1 Issued in NY
Practice address
25 Elm PL
5TH Floor
Brooklyn, NY 11201-5355
Phone
(212) 584-2502
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 008801-1 NY Primary

Addresses

Primary practice location

25 Elm PL
5TH Floor
Brooklyn, NY 11201-5355

Mailing address

112 Chestnut Ave
New Windsor, NY 12553-5921
Phone (914) 805-5650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726000690 NY Practitioner - Physical Therapist in Private Practice 2264789676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008801-1NYMDMental Health Counselor
008801NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
On a Roll Physical and Occupational Therapy Services, PLLC Neurology CurrentSince Mar 21, 2018 Accepting new patients

Locations

1513 Olmstead Ave
Bronx, NY 10462
Phone (718) 829-3800

136 Bushwick Ave
Brooklyn, NY 11206
Phone (646) 653-6266

25 Elm Pl
Fl 5
Brooklyn, NY 11201
Phone (212) 584-2500

169 Madison Ave
Ste 15744
New York, NY 10016

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": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371859200000",
    "number": "1154760122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHESTNUT AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535921",
            "telephone_number": "914-805-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL",
            "address_2": "5TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015355",
            "telephone_number": "212-584-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEL",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "008801-1",
            "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 Jun 22, 2013; 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.