Jessica Brienza, PT,DPT
Physical Therapist in Staten Island, NY. Individual provider (NPI-1).
NPI number1194601302
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1194601302
- Entity type
- Individual (NPI-1)
- Name
- Jessica Brienza
- Credential
- PT,DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2025
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 054735 | NY | Yes |
Practice location
1243 Woodrow RdStaten Island, NY 10309-1725
Phone 718-966-0111
Mailing address
87 Detroit AveStaten Island, NY 10312-3303
Phone 347-962-1455
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