Individual provider Active NPI

Ronnie Santos, P.T.A., AOEAS

  • Physical Therapy Assistant
  • Teaneck, NJ
National Provider Identifier
1700445103
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB001834 Issued in NJ
Practice address
100 E Maple St
Teaneck, NJ 07666-3800
Phone
(201) 921-0530
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB001834 NJ Primary

Addresses

Primary practice location

100 E Maple St
Teaneck, NJ 07666-3800

Mailing address

100 E Maple St
Teaneck, NJ 07666-3800
Phone (201) 921-0530

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ronnie.santos@briotix.com

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

LicenseStateTypeSpecialty
40QB001834NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1700445103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAPLE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663800",
            "telephone_number": "201-921-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAPLE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663800",
            "telephone_number": "201-921-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "RONNIE",
        "name_prefix": "Mr.",
        "credential": "P.T.A., AOEAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB001834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ronnie.santos@briotix.com",
            "affiliation": "N",
            "address_1": "100 E Maple St",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076663800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.