Individual provider Active NPI

Michael Torres Pulgo, PT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1033433743
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028784 Issued in NY
Practice address
3250 44TH St Apt 2R
Astoria, NY 11103-2327
Phone
(917) 499-1880
Fax
(917) 499-1880
NPI assigned
Mar 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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 028784 NY Primary

Addresses

Primary practice location

3250 44TH St Apt 2R
Astoria, NY 11103-2327

Mailing address

3250 44TH St Apt 2R
Astoria, NY 11103-2327
Phone (917) 499-1880

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
028784NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1033433743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 44TH ST APT 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032327",
            "telephone_number": "917-499-1880",
            "fax_number": "917-499-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 44TH ST APT 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032327",
            "telephone_number": "917-499-1880",
            "fax_number": "917-499-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULGO",
        "first_name": "MICHAEL",
        "middle_name": "TORRES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.