Individual provider Active NPI

Jennie Batolina Aristorenas, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1871764183
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022743-1 Issued in NY
Practice address
650 Hollywood Ave
Bronx, NY 10465-2352
Phone
(718) 822-0408
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 022743-1 NY Primary

Addresses

Primary practice location

650 Hollywood Ave
Bronx, NY 10465-2352

Mailing address

26 E Parkway
Apt 11
Scarsdale, NY 10583-4153
Phone (914) 433-1831

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
022743-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1871764183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E PARKWAY",
            "address_2": "APT 11",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834153",
            "telephone_number": "914-433-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOLLYWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652352",
            "telephone_number": "718-822-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTORENAS",
        "first_name": "JENNIE",
        "middle_name": "BATOLINA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022743-1",
            "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 Mar 21, 2012; 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.