Grace R Matos-Brennen, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5729 Issued in NY

Practice address

1227-7 Montauk Highway
Oakdale, NY 11769

Phone

(631) 218-1545

NPI assigned

Feb 13, 2007

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

Other names 1

• Grace R Matos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659413532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900726",
            "telephone_number": "631-474-3652",
            "fax_number": "631-474-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227-7 MONTAUK HIGHWAY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "11769",
            "telephone_number": "631-218-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-BRENNEN",
        "first_name": "GRACE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "MATOS",
            "middle_name": "R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christina Marie Mancuso, SERVICE COORDINATOR
• Stefany Marte, MSW
• Jeanette Frances Martino, LPN
• Nicole Massina
• Madeline Match, S.L.P.
• Kim Marie Maurer, R.N.
• Megan J McAlpine, M.A., CCC SLP TSHH
• Daniel Mathew McCarthy, RN
• Michelle Irene McHugh, MA TVI
• Debra Mejia-Scott, LPN

• Pediatric Physical Therapist in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Pediatric Physical Therapist in New York

• 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.