Vibrant Physical Therapy Rehabilitation PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02204 Issued in NY

Legal business name

VIBRANT PHYSICAL THERAPY REHABILITATION PC

Practice address

321 Avenue P FL 1
Brooklyn, NY 11204-4135

Phone

(201) 844-1992

Fax

(347) 713-4525

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Miss Irina Shammay, DPT

Title

Administrator

Phone

(201) 844-1992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1376090290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 AVENUE P FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044135",
            "telephone_number": "201-844-1992",
            "fax_number": "347-713-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 AVENUE P FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044135",
            "telephone_number": "201-844-1992",
            "fax_number": "347-713-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT PHYSICAL THERAPY REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SHAMMAY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-844-1992",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "02204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Viana Teixeira
• Claude Monique Viard, MSED
• Raymonde Viau Montalmant, LPN
• Vibrant Applied Behavior Therapy PLLC
• Vibrant Life LLC
• Vibrant Transportation Inc
• Victor Vicente, M.D.
• Vichai Lotongkhum,M.D.&Lek Lotongkhum,M.D.PC
• Vichris Medical Supply
• Christina Vicidomini

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.