Physical Therapy of the Bronx

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3782 Issued in NY

Legal business name

PHYSICAL THERAPY OF THE BRONX

Practice address

813 Southern Blvd
Bronx, NY 10459-5202

Phone

(718) 861-6787

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Howard Gustav Krebaum Jr., PT

Title

Physical Therapist

Phone

(718) 861-6787

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1568761971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104595202",
            "telephone_number": "718-861-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104595202",
            "telephone_number": "718-861-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF THE BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "KREBAUM",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "GUSTAV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-861-6787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "3782",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linette Amanda Phu, PHARM.D.
• Wipanee Phupakdi, M.D.
• Rajan Phuyal
• Antoinette Anita Phynn, LMSW
• Physical Medicine and Rehabilitation of Ny
• Physicians Medical Rehab Associates of Pelham PLLC
• Physicians of the Future Medgroup PLLC
• Physio Care Physical Therapy PC
• Patricia Joy Piacente, FNP
• Victor Natale Piacente, JD

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 Mar 24, 2011; 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.