Active NPI
Renat Yaron, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1366641607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021817
- Practice address
- 20 W 20TH St
Suite 405
New York, NY 10011-4213 - Phone
- (212) 675-7585
- Fax
- (212) 228-6261
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- 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 | 021817 | NY | Primary |
Addresses
Primary practice location
20 W 20TH St
Suite 405
New York, NY 10011-4213
Mailing address
111 3Rd Ave
3G
New York, NY 10003-5518
Phone (646) 271-7229
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021817 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1366641607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 3RD AVE",
"address_2": "3G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100035518",
"telephone_number": "646-271-7229",
"fax_number": "212-228-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 20TH ST",
"address_2": "SUITE 405",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114213",
"telephone_number": "212-675-7585",
"fax_number": "212-228-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARON",
"first_name": "RENAT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.