Individual provider Active NPI

Iwona Weronika Rogalski, PTA,

  • Physical Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1821561994
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
010952 Issued in NY
Practice address
153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone
(347) 702-9958
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 010952 NY Primary

Addresses

Primary practice location

153 Bay 26TH St
Brooklyn, NY 11214-4938

Mailing address

153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (347) 702-9958

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
010952NYMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1821561994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BAY 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144938",
            "telephone_number": "347-702-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BAY 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144938",
            "telephone_number": "347-702-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALSKI",
        "first_name": "IWONA",
        "middle_name": "WERONIKA",
        "credential": "PTA,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010952",
            "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 Jan 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.