Aireen Centeno Dela Pena, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P9998 Issued in NC

Practice address

3420 Wake Forest Rd
Durham, NC 27703-3522

Phone

(919) 596-9464

NPI assigned

Feb 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Aireen Angelo Centeno Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1508258872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WAKE FOREST RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033522",
            "telephone_number": "919-596-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WAKE FOREST RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033522",
            "telephone_number": "919-596-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA PENA",
        "first_name": "AIREEN",
        "middle_name": "CENTENO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIREEN",
            "last_name": "CENTENO",
            "middle_name": "ANGELO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyra Nicole Dekoning, LCMHC, CRC
• Amanda A Del Rio, APRN
• Amanda Christina Del Risco
• Maria M. Del Valle-Torres, PA-C
• Teresa Marie Del Vecchio, PA-C
• Annabel Delacruz
• Christopher David Delaney, MD, PHD
• Jeffrey Delaney
• Katherine Elizabeth Delaney, MSN, RN, CPNP-AC
• Isabel Delaura, MD

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.