Organization Active NPI

Refresh Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1154829406
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
036975 Issued in NY
Legal business name
REFRESH PHYSICAL THERAPY PLLC
Practice address
185 Clinton Ave Apt 4E
Brooklyn, NY 11205-3508
Phone
(347) 328-4103
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dominic Farnan, P.T.
Title
Physical Therapist
Phone
(347) 328-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 036975 NY Primary

Addresses

Primary practice location

185 Clinton Ave Apt 4E
Brooklyn, NY 11205-3508

Mailing address

185 Clinton Ave Apt 4E
Brooklyn, NY 11205-3508
Phone (347) 328-4103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1154829406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CLINTON AVE APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053508",
            "telephone_number": "347-328-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CLINTON AVE APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053508",
            "telephone_number": "347-328-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "FARNAN",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-328-4103",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "036975",
            "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 Sep 27, 2023; 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.