Individual provider Active NPI

Allan Feliciano Magbag, RPT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1023225232
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022488 Issued in NY
Practice address
9910 Metropolitan Ave
Forest Hills, NY 11375-6638
Phone
(718) 263-2273
Fax
(718) 263-2278
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 022488 NY Primary

Addresses

Primary practice location

9910 Metropolitan Ave
Forest Hills, NY 11375-6638

Mailing address

9910 Metropolitan Ave
Forest Hills, NY 11375-6638
Phone (718) 263-2273

Other identifiers 7

IdentifierTypeStateIssuer
02941211MedicaidNY
2841174OtherNYUNITED HEALTH CARE
1781852OtherNYAETNA PPO
715234OtherNYACN/MPN EMPIRE PLAN
100284117401OtherNYAMERICHOICE OF UHC
022488OtherNYHIP
Q438F1OtherNYEMPIRE BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000083 NY Practitioner - Physical Therapist in Private Practice 6507953593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Procare Physical Therapy PCGroup PAC ID 7315093275, 2 clinicians

Practice addresses (Care Compare)

9910 Metropolitan Ave
Forest Hills, NY 11375-6638
Phone (718) 263-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002488NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Procare Physical Therapy PC CurrentSince Jul 22, 2009 Accepting new patients
Ocean Bay Physical Therapy PLLC Physical Therapist Past Accepting new patients
Bay Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

9910 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 263-2273

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1023225232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756638",
            "telephone_number": "718-263-2273",
            "fax_number": "718-263-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756638",
            "telephone_number": "718-263-2273",
            "fax_number": "718-263-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBAG",
        "first_name": "ALLAN",
        "middle_name": "FELICIANO",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02941211",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2841174",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "1781852",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN/MPN EMPIRE PLAN",
            "identifier": "715234",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF UHC",
            "identifier": "100284117401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "022488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "Q438F1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.