Elizabeth Medina, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026258 Issued in NY

Practice address

5912 Riverdale Ave
Bronx, NY 10471-1603

Phone

(347) 275-9044

Fax

(347) 602-5287

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1881836310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711603",
            "telephone_number": "347-275-9044",
            "fax_number": "347-602-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711603",
            "telephone_number": "347-275-9044",
            "fax_number": "347-602-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Medina, PHARMD
• Barbara Medina, LMSW
• Carmen Enid Medina
• Edward Medina, LCSW
• Elizabeth Medina
• Fawn Erin Medina, RN
• Franchy Paola Medina
• Ignacio Medina, M.D.
• Iliana Paola Medina
• Jacqueline Medina

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.