NPIMap

Organization Active NPI

Theradynamics Physical Rehab

  • Exclusive Provider Organization
  • Bronx, NY
National Provider Identifier
1407022817
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
012901 Issued in NY
Legal business name
THERADYNAMICS PHYSICAL REHAB
Practice address
3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422
Phone
(718) 548-1212
Fax
(718) 548-1900
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Guerline Jean
Title
Otr/L
Phone
(718) 548-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 012901 NY Primary

Addresses

Primary practice location

3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422

Mailing address

3871 Sedgwick Ave
Suite 1B
Bronx, NY 10463-4422
Phone (718) 548-1212

National Provider Directory

National Provider Directory
Tax ID family
Theradynamics Physical Rehab6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1407022817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERADYNAMICS PHYSICAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "GUERLINE",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "718-548-1212"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "012901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

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

Verify at the official NPI Registry.