On a Roll Physical and Occupational Therapy Services, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

008801-1 Issued in NY

Legal business name

ON A ROLL PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC

Doing business as

On A Roll

Practice address

25 Elm PL FL 5
Brooklyn, NY 11201-5826

Phone

(212) 584-2502

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Jean L Minkel, PTNPI 1154760122

Title

Owner

Phone

(917) 428-7564

Specialties & licenses 1

Addresses

Other names 1

• On A Roll Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Pedro Luis Estevez, OTRL

  • Occupational Therapist
  • New York, NY
  • NPI 1912052747
  Medicare reassignment Care Compare group NPD
• Jean L Minkel, PT

  • Neurology Physical Therapist
  • Brooklyn, NY
  • NPI 1154760122
  Medicare reassignment NPD Authorized official
• Rachel Spiers, OTR/L ATP

  • Occupational Therapist
  • Bronx, NY
  • NPI 1720569775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1184063117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015826",
            "telephone_number": "917-428-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015826",
            "telephone_number": "212-584-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON A ROLL PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MINKEL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-428-7564",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "008801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On A Roll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Omran, MD
• Ola Omran, RD
• Sara Omran
• Omrdd-Bffy
• Gulzat Omurgazieva, RN
• On Demand Physical Therapy LLC
• On Hand Medical Inc
• On Point Health
• On the Run Surgical Supplies Inc.,
• On Time DME Corp

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.