Active NPI
Marina Patent PTPC
- Physical Therapy Clinic/Center
- Brooklyn, NY
National Provider Identifier
1235537226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 0265421
- Legal business name
- MARINA PATENT PTPC
- Practice address
- 3120 Brighton 5TH St
Suite 1C
Brooklyn, NY 11235-7044 - Phone
- (718) 934-1920
- Fax
- (718) 934-2078
- NPI assigned
- Dec 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marina Patent, MSPT
- Title
- President
- Phone
- (917) 364-5721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 0265421 | NY | Primary |
Addresses
Primary practice location
3120 Brighton 5TH St
Suite 1C
Brooklyn, NY 11235-7044
Mailing address
3115 Brighton 4TH St
3B
Brooklyn, NY 11235-7265
Phone (917) 364-5721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1073591293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417996800000",
"number": "1235537226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 BRIGHTON 4TH ST",
"address_2": "3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357265",
"telephone_number": "917-364-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 BRIGHTON 5TH ST",
"address_2": "SUITE 1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357044",
"telephone_number": "718-934-1920",
"fax_number": "718-934-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA PATENT PTPC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A",
"authorized_official_last_name": "PATENT",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-364-5721",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "0265421",
"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 Dec 8, 2014; 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.