Individual provider Active NPI

Juliza Santiago, R.P.T

  • Physical Therapist
  • Fresh Meadows, NY
National Provider Identifier
1013087980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
Q08J41 Issued in NY
Practice address
6727 197TH St
Fresh Meadows, NY 11365-4036
Phone
(917) 399-4986
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Q08J41 NY Primary
Physical Therapist 225100000X NJ

Addresses

Primary practice location

6727 197TH St
Fresh Meadows, NY 11365-4036

Mailing address

67-27 197 Street
Fresh Meadows, NY 11365-4036
Phone (917) 399-4986

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA1179800NJMDPhysical Therapist
Q08J41NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Chiropractic and Physical Therapy Wellness Center LLC Physical Therapist Past Accepting new patients
SMB Medical, P.C. Past Accepting new patients
Pinoy Physical Therapy, PC Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013087980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-27 197 STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654036",
            "telephone_number": "917-399-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 197TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654036",
            "telephone_number": "917-399-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JULIZA",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "Q08J41",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, 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.

Verify at the official NPI Registry.