Individual provider Active NPI

Sonora Joy Brioso, DPT

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1982295465
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030334 Issued in NY
Practice address
311 Saint Nicholas Ave Ste E
Ridgewood, NY 11385-2296
Phone
(718) 509-9888
Fax
(718) 509-6144
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Core PT Pta and Rehabilitation PLLC 5 clinicians

Practice addresses (Care Compare)

1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 509-9888

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 509-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210209001653 NY Practitioner - Physical Therapist in Private Practice 3476968223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Red Core Ptpta and Rehabilitation PLLC Physical Therapist CurrentSince Nov 4, 2020 Accepting new patients
Red Core PT Pta and Rehabilitation PLLC Physical Therapist Current Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

4626 White Plains Rd
Bronx, NY 10470
Phone (718) 547-4077

1722 Pitkin Ave
Brooklyn, NY 11212
Phone (929) 415-8856

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1718 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 360-1393

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030334 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

311 Saint Nicholas Ave Ste E
Ridgewood, NY 11385-2296

Mailing address

9420 53Rd Ave # 1
Elmhurst, NY 11373-4612
Phone (646) 457-6541

Other names 1

NPPES NPI Registry
  • Sonora Joy Villanueva Alonto Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2021.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1982295465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 53RD AVE # 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734612",
            "telephone_number": "646-457-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SAINT NICHOLAS AVE STE E",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852296",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIOSO",
        "first_name": "SONORA JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONORA JOY",
            "last_name": "VILLANUEVA ALONTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 28, 2021; 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.