Cheryl Victoria Bronner, PHD, PT, OCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

008223-1 Issued in NY

Practice address

122 Ashland PL
#1A
Brooklyn, NY 11201-3973

Phone

(718) 246-6377

Fax

(718) 246-6383

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shaw Bronner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285763854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 8TH AVE",
            "address_2": "#11B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151553",
            "telephone_number": "718-246-6377",
            "fax_number": "718-246-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ASHLAND PL",
            "address_2": "#1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013973",
            "telephone_number": "718-246-6377",
            "fax_number": "718-246-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONNER",
        "first_name": "CHERYL",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PHD, PT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "008223-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAW",
            "last_name": "BRONNER",
            "prefix": "DR.",
            "credential": "PHD, PT, OCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eleonora Bronfain, LCSW
• Dmitriy Bronfman, M.D.
• Ilana Bronfman, OD
• Raisa Bronnberg
• Abe Isaac Bronner, DDS
• Gabriel Bronner, LMSW
• Hinda S Bronner
• Isaac Bronner
• Michael Bronner, CCC-SLP
• Ruchel Bronner

• Sports Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.