Active NPI
Kent Luceno, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1821300104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029167
- Practice address
- 5911 16TH Ave
Brooklyn, NY 11204-2114 - Phone
- (718) 232-2300
- Fax
- (718) 236-3449
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029167 | NY | Primary |
Addresses
Primary practice location
5911 16TH Ave
Brooklyn, NY 11204-2114
Mailing address
1258 Woodside Ave
North Baldwin, NY 11510-1911
Phone (718) 232-2300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029167 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Factor Medical PC | Past | Accepting new patients | |
| Inzlicht, Lewin & Winiarsky, MD, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013309806
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1194934661
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1821300104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 WOODSIDE AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101911",
"telephone_number": "718-232-2300",
"fax_number": "718-236-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5911 16TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042114",
"telephone_number": "718-232-2300",
"fax_number": "718-236-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCENO",
"first_name": "KENT",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.