Active NPI
Alyssa Mariel Jurane, PHYSICAL THERAPIST
- Physical Therapist
- Ridgewood, NY
National Provider Identifier
1891586913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 054161
- Practice address
- 6024 68TH Ave
Ridgewood, NY 11385-4544 - Phone
- (929) 204-5612
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 054161 | NY | Primary |
Addresses
Primary practice location
6024 68TH Ave
Ridgewood, NY 11385-4544
Mailing address
1801 Broadway
Brooklyn, NY 11207-1602
Phone (718) 455-3400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054161 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1891586913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112071602",
"telephone_number": "718-455-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6024 68TH AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113854544",
"telephone_number": "929-204-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURANE",
"first_name": "ALYSSA MARIEL",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.