GRACE R MATOS-BRENNEN (NPI# 1659413532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659413532 |
| Entity Type | Individual |
| Full Name | GRACE R MATOS-BRENNEN |
| Other Name | GRACE R MATOS |
| Credential | PT |
| Practice Address |
1227-7 Montauk Highway Oakdale NY 11769 |
| Mailing Address |
Po Box 726 Stony Brook NY 11790-0726 |
| Practice Telephone | 6312181545 |
| Mailing Telephone | 6314743652 |
| Mailing Fax Number | 6314747893 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5729 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1227-7 MONTAUK HIGHWAY |
| City | OAKDALE |
| State | NY |
| Zip Code | 11769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1346583416 | Daniel Mathew Mccarthy | Registered Nurse | 151 Bridle Way, Oakdale, NY 11769 | 2013-03-27 |
| 1932469434 | Gail Santos | Licensed Practical Nurse | 141a Oakdale Bohemia Rd, Oakdale, NY 11769 | 2012-05-18 |
| 1609184647 | Jennifer King Farnum | Counselor | 371 Locust Ave, Oakdale, NY 11769 | 2010-09-23 |
| 1912220302 | Daniel Sacks Litwin | Acupuncturist | 2 Berard Blvd, Oakdale, NY 11769 | 2010-03-12 |
| 1760628804 | Deborah Ann Dimarzo | Massage Therapist | 5 Race Pl, Oakdale, NY 11769 | 2008-12-19 |
| 1790904662 | Agnes Marie Drescher | Social Worker | 532 Race Place, Oakdale, NY 11769 | 2007-04-25 |
| 1275652166 | Gina Marie Guschel | Physician Assistant | 4568 Sunrise Highway, Oakdale, NY 11769 | 2007-03-29 |
| 1366578726 | Mark Salerno | Dentist | 1219 Montauk Highway, Oakdale, NY 11769 | 2007-02-27 |
| 1609919984 | Bonnie Lynn Rubell | Occupational Therapist | 1227 2 Montauk Highway, Tender Age Pt Inc, Oakdale, NY 11769 | 2007-02-15 |
| Find all providers in zip 11769 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376699595 | Annamarie Elizabeth Albolote-milewczik | Physical Therapist | 215 Connetquot Dr, Oakdale, NY 11769-1948 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
| 1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
| 1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
| 1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
| 1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRACE R MATOS-BRENNEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.