Marlene Bradnock

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

002442 Issued in NY

Legal business name

MARLENE BRADNOCK

Practice address

178-18 120 Ave
Jamaica, NY 11434

Phone

(347) 357-7881

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Marlene A Bradnock, PTA

Title

Physical Therapist Assistant

Phone

(347) 357-7881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1710381017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17818 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342716",
            "telephone_number": "347-357-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178-18 120 AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "347-357-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE BRADNOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "BRADNOCK",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "347-357-7881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "002442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Tietz Nursing and Rehabilitation Center
• Anny Mariano Rodriguez
• Daniel Mark
• Kristina Markovic, RD
• Sarah Markowitz
• Tracy Marmer, PA
• Denise Marquez
• Justine Marrero
• Paula Nicole Marriott, RN
• John Marro, PHARMD

• Physical Therapy Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.