Individual provider Active NPI

Albert Vonurban, PTA

  • Physical Therapy Assistant
  • Nesconset, NY
National Provider Identifier
1033773411
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
002727-1 Issued in NY
Practice address
100 Southern Blvd
Nesconset, NY 11767-1749
Phone
(631) 361-8800
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 002727-1 NY Primary

Addresses

Primary practice location

100 Southern Blvd
Nesconset, NY 11767-1749

Mailing address

9 Raccoon Path
Coram, NY 11727-2142
Phone (631) 944-0162

Other practice location 1

305 Locust Ave
Oakdale, NY 11769-1652
Phone (631) 218-5900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002727-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1033773411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RACCOON PATH",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272142",
            "telephone_number": "631-944-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671749",
            "telephone_number": "631-361-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "NY",
            "postal_code": "117691652",
            "country_code": "US",
            "telephone_number": "631-218-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONURBAN",
        "first_name": "ALBERT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "002727-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.