Active NPI
Nina Potapenkova, P.T.
- Physical Therapist
- Howard Beach, NY
National Provider Identifier
1316182264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019990
- Practice address
- 16242 97TH St
Howard Beach, NY 11414-4030 - Phone
- (646) 331-7172
- Fax
- (718) 641-9088
- NPI assigned
- Dec 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019990 | NY | Primary |
Addresses
Primary practice location
16242 97TH St
Howard Beach, NY 11414-4030
Mailing address
16242 97TH St
Howard Beach, NY 11414-4030
Phone (646) 331-7172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228521600000",
"number": "1316182264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16242 97TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114144030",
"telephone_number": "646-331-7172",
"fax_number": "718-641-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16242 97TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114144030",
"telephone_number": "646-331-7172",
"fax_number": "718-641-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTAPENKOVA",
"first_name": "NINA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-06",
"last_updated": "2008-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.