Brianna Elizabeth Antonawich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050148 Issued in NY

Practice address

289 Daniel St
Lindenhurst, NY 11757-3546

Phone

(631) 867-3300

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1427744200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 11TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043530",
            "telephone_number": "631-747-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 DANIEL ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573546",
            "telephone_number": "631-867-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONAWICH",
        "first_name": "BRIANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lindenhurst, NY
• Providers in Lindenhurst, 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 Apr 13, 2023; 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.