NPIMap

Organization Active NPI

Raine Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1417480575
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029251 Issued in NY
Legal business name
RAINE PHYSICAL THERAPY, PLLC
Practice address
753 Albany Ave
Brooklyn, NY 11203-2103
Phone
(917) 626-0530
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Dr. Loraine Antoine, DPTNPI 1831212786
Title
Owner
Phone
(917) 626-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 029251 NY Primary

Addresses

Primary practice location

753 Albany Ave
Brooklyn, NY 11203-2103

Mailing address

753 Albany Ave
Brooklyn, NY 11203-2103
Phone (917) 626-0530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1417480575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 ALBANY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032103",
            "telephone_number": "917-626-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 ALBANY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032103",
            "telephone_number": "917-626-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-626-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029251",
            "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 Apr 6, 2017; 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.