Active NPI
Angel Louis Quinones, PTA
- Physical Therapy Assistant
- Brewster, NY
National Provider Identifier
1013019645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 66-001622
- Practice address
- 185 Route 312
Suite 301B
Brewster, NY 10509-2337 - Phone
- (845) 279-9288
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 66-001622 | NY | Primary |
Addresses
Primary practice location
185 Route 312
Suite 301B
Brewster, NY 10509-2337
Mailing address
62 Fini Dr
Carmel, NY 10512-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66-001622 | Other | NY | NYS LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66-001622 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aon Physical Therapy and Wellness, PLLC | Past | Accepting new patients | |
| Sports Physical Therapy of New York, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Brewster, NY
- NPI 1447476577
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013019645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 FINI DR",
"city": "CARMEL",
"state": "NY",
"postal_code": "105124061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 ROUTE 312",
"address_2": "SUITE 301B",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092337",
"telephone_number": "845-279-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "ANGEL",
"middle_name": "LOUIS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "66-001622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "66-001622",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.