Active NPI
Bronx Physical Therapy, LLP
- Specialist
- Bronx, NY
National Provider Identifier
1447336193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 006745-1
- Legal business name
- BRONX PHYSICAL THERAPY, LLP
- Practice address
- 3611 E Tremont Ave
Bronx, NY 10465-2009 - Phone
- (718) 904-9581
- Fax
- (718) 931-0125
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Blum, P.T.
- Title
- Owner
- Phone
- (718) 904-9581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 006745-1 | NY | Primary |
Addresses
Primary practice location
3611 E Tremont Ave
Bronx, NY 10465-2009
Mailing address
3611 E Tremont Ave
Bronx, NY 10465-2009
Phone (718) 904-9581
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8450289 | Other | NY | AETNA PPO GROUP# |
| CM3831 | Other | NY | RAILROAD MEDICARE GROUP# |
| 7870 | Other | NY | AETNA HMO # |
| 0021702 | Other | NY | AETNA ORTHONET ID# |
| 21701 | Other | NY | ORTHONET ID# |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488499200000",
"number": "1447336193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652009",
"telephone_number": "718-904-9581",
"fax_number": "718-931-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652009",
"telephone_number": "718-904-9581",
"fax_number": "718-931-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONX PHYSICAL THERAPY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2017-03-03",
"status": "A",
"authorized_official_last_name": "BLUM",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-904-9581",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "006745-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO GROUP#",
"identifier": "8450289",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP#",
"identifier": "CM3831",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "7870",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ORTHONET ID#",
"identifier": "0021702",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET ID#",
"identifier": "21701",
"state": "NY"
}
],
"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 Mar 3, 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.