Evrena Ghobrial

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010859-1 Issued in NY

Practice address

7205 Adams St
Apt 1
North Bergen, NJ 07047-4805

Phone

(201) 993-2072

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinetic Home Therapy Services LLCGroup PAC ID 5496131872, 11 clinicians

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
  • NPI 1396799409
  Medicare reassignment Care Compare group NPD
• Kinetic Home Therapy Services LLC

  • Home Health Agency
  • Wayne, NJ
  • NPI 1528788502
  Medicare reassignment Care Compare group
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1912433921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 ADAMS ST",
            "address_2": "APT 1",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474805",
            "telephone_number": "201-993-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ADAMS ST",
            "address_2": "APT 1",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474805",
            "telephone_number": "201-993-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "EVRENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010859-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elie Ghabi, MD
• Ghisalberti Dental LLC
• Giancarlo Luciano Ghisalberti, DMD
• Luciano Ghisalberti, DMD
• Pierangelo Antonio Ghisalberti, DDS
• Juan Gil, LCSW
• Leah Landau Gillon
• Gino S Ramundo Family Chiropractor PC
• Mauricio H Giraldo, MT
• Hannah Marie Girgis, MD

• Physical Therapist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.