Individual provider Active NPI

Joann Santos Vinluan, R.P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1033243084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021012 Issued in NY
Practice address
371 2ND Ave
New York, NY 10010-6447
Phone
(212) 420-7280
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021012 NY Primary

Addresses

Primary practice location

371 2ND Ave
New York, NY 10010-6447

Mailing address

371 2ND Ave
New York, NY 10010-6447
Phone (212) 420-7280

Other identifiers 1

IdentifierTypeStateIssuer
0220422MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000936 NY Practitioner - Physical Therapist in Private Practice 2264413970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanvin Physical Therapy PCGroup PAC ID 3274423355, 2 clinicians

Practice addresses (Care Compare)

371 2ND Ave
New York, NY 10010-6447
Phone (212) 420-7280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanvin Physical Therapy PC Current Accepting new patients
Sanvin Physical Therapy PC CurrentSince Mar 19, 2001 Accepting new patients
Theraphysical Care of Pennsylvania, LLC Physical Therapist PastSince Mar 1, 2007 Accepting new patients

Locations

3749 91st St
Jackson Hts, NY 11372
Phone (718) 397-8500

371 2nd Ave
New York, NY 10010
Phone (212) 420-7280

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033243084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106447",
            "telephone_number": "212-420-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106447",
            "telephone_number": "212-420-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINLUAN",
        "first_name": "JOANN",
        "middle_name": "SANTOS",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.
  • 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.