Abc,PT,PLLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

ABC,PT,PLLC

Practice address

259 Broadway
Lynbrook, NY 11563-3243

Phone

(516) 410-8498

NPI assigned

Aug 11, 2008

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Tina Bruno-CarronNPI 1801042908

Title

P.T.

Phone

(516) 410-8498

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Tina Bruno-Carron, P.T.

  • Pediatric Physical Therapist
  • Lynbrook, NY
  • NPI 1801042908

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1306092374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CAMBRIDGE ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652152",
            "telephone_number": "516-410-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-410-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC,PT,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BRUNO-CARRON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "516-410-8498"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.