Individual provider Active NPI

Renuka Pinto, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1699927707
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025274 Issued in NY
Practice address
915 Broadway Ste 1106
New York, NY 10010
Phone
(212) 333-4884
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X NY
Physical Therapist 225100000X 025274 NY Primary

Addresses

Primary practice location

915 Broadway Ste 1106
New York, NY 10010

Mailing address

915 Broadway Ste 1106
New York, NY 10010-7127
Phone (212) 333-4884

Other practice location 1

710 Parkside Ave
Brooklyn, NY 11226-1508
Phone (718) 282-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090313000203 NY Practitioner - Physical Therapist in Private Practice 3971669144 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 W 21St St
RM 801
New York, NY 10010-6853
Phone (718) 406-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025274NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Physical Therapy and Rehab PLLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
University Physicians of Brooklyn, Inc. Past Accepting new patients
Flatiron Chiropractic and Physical Therapy Associates PLLC PastSince Aug 1, 2019 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jan 14, 2018 Accepting new patients

Locations

915 Broadway
Ste 1106
New York, NY 10010
Phone (212) 333-4884

19 W 21st St
Rm 801
New York, NY 10010
Phone (212) 475-8104

Organizations & group practices 4

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1699927707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107127",
            "telephone_number": "212-333-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-333-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Parkside Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112261508",
            "country_code": "US",
            "telephone_number": "718-282-7800",
            "fax_number": "718-282-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINTO",
        "first_name": "RENUKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.