Individual provider Active NPI

Anielen Fernandez Soliven, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1760622930
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010063 Issued in NY
Practice address
128 Maine Ave
Staten Island, NY 10314-2345
Phone
(347) 613-0849
Fax
(718) 727-3305
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010063 NY Primary

Addresses

Primary practice location

128 Maine Ave
Staten Island, NY 10314-2345

Mailing address

128 Maine Ave
Staten Island, NY 10314-2345
Phone (347) 613-0849

Other names 1

  • Anielen Fernandez Sobremisana Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1760622930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142345",
            "telephone_number": "347-613-0849",
            "fax_number": "718-727-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142345",
            "telephone_number": "347-613-0849",
            "fax_number": "718-727-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIVEN",
        "first_name": "ANIELEN",
        "middle_name": "FERNANDEZ",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIELEN",
            "last_name": "SOBREMISANA",
            "middle_name": "FERNANDEZ",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.