Active NPI
Milena Rezende, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1851610513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032345-1
- Practice address
- 1641 3Rd Ave Apt 6J
New York, NY 10128-3698 - Phone
- (917) 776-1163
- Fax
- (646) 558-4939
- NPI assigned
- May 20, 2010
- Sex
- Female
- 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 | 032345-1 | NY | Primary |
Addresses
Primary practice location
1641 3Rd Ave Apt 6J
New York, NY 10128-3698
Mailing address
1641 3Rd Ave Apt 6J
New York, NY 10128-3698
Phone (917) 776-1163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032345 | Other | NY | PHYISCAL THERAPIST LICENSE |
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 |
|---|---|---|---|
| 032345-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1851610513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 3RD AVE APT 6J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283698",
"telephone_number": "917-776-1163",
"fax_number": "646-558-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 3RD AVE APT 6J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283698",
"telephone_number": "917-776-1163",
"fax_number": "646-558-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZENDE",
"first_name": "MILENA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032345-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYISCAL THERAPIST LICENSE",
"identifier": "032345",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.