Active NPI
Jean L Minkel, PT
- Neurology Physical Therapist
- Brooklyn, NY
National Provider Identifier
1154760122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 008801-1
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008801-1 | NY | MD | Mental Health Counselor |
| 008801 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On a Roll Physical and Occupational Therapy Services, PLLC | Neurology | Current | 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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1184063117
Neurology
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.