Individual provider Active NPI

Cecile Elizabeth Vanech, MA, PT

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1972757847
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
013887-1 Issued in NY
Practice address
420 95TH St
Brooklyn, NY 11209-7404
Phone
(718) 680-9751
Fax
(718) 680-7977
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 013887-1 NY Primary

Addresses

Primary practice location

420 95TH St
Brooklyn, NY 11209-7404

Mailing address

130 East 18TH Street
#14D
New York City, NY 10003-2416
Phone (917) 863-8584

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
013887-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1972757847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EAST 18TH STREET",
            "address_2": "#14D",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100032416",
            "telephone_number": "917-863-8584",
            "fax_number": "212-995-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097404",
            "telephone_number": "718-680-9751",
            "fax_number": "718-680-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANECH",
        "first_name": "CECILE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "013887-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2008; 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.