Organization Active NPI

Marina Patent PTPC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235537226
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0265421 Issued in NY
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

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Mrs. Marina Patent, MSPTNPI 1073591293
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20150303001030 NY Part B Supplier - Clinic/Group Practice 6002132446 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.