Individual provider Active NPI

Mary Christine Y Cabrera, RPT

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1639372220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011533-1 Issued in NY
Practice address
1018 Palisade Ave
Unit 17
Fort Lee, NJ 07024-6300
Phone
(201) 886-8285
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011533-1 NY Primary

Addresses

Primary practice location

1018 Palisade Ave
Unit 17
Fort Lee, NJ 07024-6300

Mailing address

1018 Palisade Ave
Unit 17
Fort Lee, NJ 07024-6300
Phone (201) 886-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011533-1NYMDPhysical Therapist
011533NYMDVA Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Rehabilitation Medicine & Physical Therapy LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639372220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PALISADE AVE",
            "address_2": "UNIT 17",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246300",
            "telephone_number": "201-886-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PALISADE AVE",
            "address_2": "UNIT 17",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246300",
            "telephone_number": "201-886-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "MARY CHRISTINE",
        "middle_name": "Y",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.