Active NPI
Romedel Repaso Ricaza
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1336938158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052706-01
- Practice address
- 727 Manhattan Ave, Apt 4L
Brooklyn, NY 11222 - Phone
- (347) 829-3890
- NPI assigned
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 052706-01 | NY | Primary |
Addresses
Primary practice location
727 Manhattan Ave, Apt 4L
Brooklyn, NY 11222
Mailing address
727 Manhattan Ave, Apt 4L
Brooklyn, NY 11222
Phone (347) 829-3890
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": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1336938158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 MANHATTAN AVE, APT 4L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "347-829-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 MANHATTAN AVE, APT 4L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "347-829-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICAZA",
"first_name": "ROMEDEL",
"middle_name": "REPASO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052706-01",
"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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.