Organization Active NPI

Bronx Rehabilitation Medicine & Physical Therapy LLC

  • Rehabilitation Chiropractor
  • Bronx, NY
National Provider Identifier
1750572897
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
202599 Issued in NY
Legal business name
BRONX REHABILITATION MEDICINE & PHYSICAL THERAPY LLC
Practice address
984 Morris Park Ave
Bronx, NY 10462-3714
Phone
(718) 823-7676
Fax
(718) 823-7675
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Albert Villafuerte, MD
Title
Proprietor
Phone
(718) 823-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 202599 NY Primary

Addresses

Primary practice location

984 Morris Park Ave
Bronx, NY 10462-3714

Mailing address

984 Morris Park Ave
Bronx, NY 10462-3714
Phone (718) 823-7676

National Provider Directory

National Provider Directory

Locations

984 Morris Park Ave
Fl First
Bronx, NY 10462
Phone (718) 823-7676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1750572897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623714",
            "telephone_number": "718-823-7676",
            "fax_number": "718-823-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623714",
            "telephone_number": "718-823-7676",
            "fax_number": "718-823-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX REHABILITATION MEDICINE & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "VILLAFUERTE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "718-823-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "202599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.