Reylito Poliquit Pumarada, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

020030 Issued in NY

Practice address

126 Hunter Ave
North Babylon, NY 11703-4602

Phone

(631) 669-0415

Fax

(631) 669-1455

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pumarada Physical Therapy Services, PC

  • Home Health Agency
  • North Babylon, NY
  • NPI 1891095287
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1073654398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HUNTER AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034602",
            "telephone_number": "631-669-0415",
            "fax_number": "631-669-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HUNTER AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034602",
            "telephone_number": "631-669-0415",
            "fax_number": "631-669-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMARADA",
        "first_name": "REYLITO",
        "middle_name": "POLIQUIT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "020030",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "020030",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "020030",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020030",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "020030",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "020030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pough
• Anthony Pozun
• Laura Primm, OTR/L
• Progressive Arrhythmia & Cardiac Care PLLC
• Pumarada Physical Therapy Services, PC
• Steven D Purrier, M.D
• Qlimg Babylon Med Office
• Ann Marie Rainford, CNA
• Katherine Melinda Ralph, LMSW
• Andrew Ramdat, RN

• Pediatric Physical Therapist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.