Active NPI
Robin A Friedenberg, PTA
- Physical Therapy Assistant
- Poughkeepsie, NY
National Provider Identifier
1689709685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0034411
- Practice address
- 76 Firemens Way
Poughkeepsie, NY 12603-6519 - Phone
- (845) 877-6821
- Fax
- (845) 454-2701
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0034411 | NY | Primary |
Addresses
Primary practice location
76 Firemens Way
Poughkeepsie, NY 12603-6519
Mailing address
18 Lake Dr
Wappingers Falls, NY 12590-5466
Phone (845) 831-7063
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034411 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689709685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LAKE DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125905466",
"telephone_number": "845-831-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 FIREMENS WAY",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036519",
"telephone_number": "845-877-6821",
"fax_number": "845-454-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDENBERG",
"first_name": "ROBIN",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "0034411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
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.