Andrea Franchesca Panganiban Pedron, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034779 Issued in NY

Practice address

14040 Queens Blvd
2ND Floor
Jamaica, NY 11435-3220

Phone

(718) 480-6794

Fax

(718) 480-6985

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Extensive Care PT PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1891066163
  NPD (past)
• OT Access PC

  • Occupational Therapist
  • Richmond Hill, NY
  • NPI 1770828238
  NPD (past)
• Spencer a Colden MD PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jamaica, NY
  • NPI 1659624336
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1053668053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353220",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353220",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRON",
        "first_name": "ANDREA FRANCHESCA",
        "middle_name": "PANGANIBAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa L Pearson Blount, LMHC
• Claudine Jennifer Pearson
• Leon Pearson
• Victoria Jo-El Pearson, LMHC, CASAC
• Neil Oliver Pedley, LMSW
• Darnise Yvette Peeples, LMSW
• Grace Nabila Pena Fatule, M.D.
• Anthony Arbey Pena
• Melissa Pena, CNM
• Salesky Pena

• Physical Therapist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.