Joseph Edwin Villacorte Abrenica, BSPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

039896-1 Issued in NY

Practice address

5741 157TH St FL 1
Flushing, NY 11355-5518

Phone

(850) 832-9535

NPI assigned

Nov 28, 2017

Last updated

Nov 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ja Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003372939
  Authorized official Same address or phone

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1205340270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 157TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555518",
            "telephone_number": "850-832-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 157TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555518",
            "telephone_number": "850-832-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRENICA",
        "first_name": "JOSEPH EDWIN",
        "middle_name": "VILLACORTE",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "039896-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039896-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Abramov, DMD
• Daniella Abramov, DO
• Nelya Abramova, PHARM. D.
• Janet Abrams
• Nana Abrams, OD
• Brianna N. Abreu, PA-C
• Wanda Abreu, MD
• Ursino Seno Abucay, MD
• Joseph Jean Pierre Abularrage, M.D.
• Abundance Health Care PT OT PLLC

• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, 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 Nov 28, 2017; 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.