Active NPI
John L. Braun, PT,PC
- Physical Therapist
- Deer Park, NY
National Provider Identifier
1316216245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008220-1
- Legal business name
- JOHN L. BRAUN, PT,PC
- Practice address
- 2024 Deer Park Ave
Deer Park, NY 11729-2701 - Phone
- (631) 243-0247
- Fax
- (631) 243-0248
- NPI assigned
- Dec 21, 2011
- 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
- Evelyn R. Braun
- Title
- Office Manager
- Phone
- (631) 243-0247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008220-1 | NY | Primary |
Addresses
Primary practice location
2024 Deer Park Ave
Deer Park, NY 11729-2701
Mailing address
2024 Deer Park Ave
Deer Park, NY 11729-2701
Phone (631) 243-0247
National Provider Directory
National Provider DirectoryLocations
2024 Deer Park Ave
Deer Park, NY 11729
Phone (516) 243-0247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1316216245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292701",
"telephone_number": "631-243-0247",
"fax_number": "631-243-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292701",
"telephone_number": "631-243-0247",
"fax_number": "631-243-0248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L. BRAUN, PT,PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "BRAUN",
"authorized_official_first_name": "EVELYN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-243-0247"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "008220-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.