Individual provider Active NPI

Annabelle Ramos Tungcab, RPT

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1033587936
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039305-1 Issued in NY
Practice address
8641 57TH Rd 2F
Elmhurst, NY 11373
Phone
(209) 623-8731
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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 039305-1 NY Primary

Addresses

Primary practice location

8641 57TH Rd 2F
Elmhurst, NY 11373

Mailing address

8641 57TH Rd 2F
Elmhurst, NY 11373
Phone (209) 623-8731

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
039305-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare, LLC Physical Therapist CurrentSince Aug 8, 2016 Accepting new patients
Ignite Rehab PT PC Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Lafayette Medical Office, PC Physical Therapist PastSince Aug 8, 2016 Accepting new patients

Locations

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

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, 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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1033587936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 57TH RD 2F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "209-623-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 57TH RD 2F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "209-623-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGCAB",
        "first_name": "ANNABELLE",
        "middle_name": "RAMOS",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039305-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.