Organization Active NPI

NRN Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1891204202
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039823 Issued in NY
Legal business name
NRN PHYSICAL THERAPY PC
Practice address
3041 Avenue U
Brooklyn, NY 11229-5126
Phone
(929) 329-6584
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Nena Neron
Title
Owner
Phone
(929) 329-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 039823 NY Primary

Addresses

Primary practice location

3041 Avenue U
Brooklyn, NY 11229-5126

Mailing address

3041 Avenue U
Brooklyn, NY 11229-5126

Other identifiers 1

IdentifierTypeStateIssuer
039823OtherNYSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1891204202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295126",
            "telephone_number": "929-329-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "NERON",
        "authorized_official_first_name": "NENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-329-6584"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "039823",
            "state": "NY"
        }
    ],
    "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 Oct 24, 2017; 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.