Maria Lucia Jimenez, Ma,PT,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024486 Issued in NY

Legal business name

MARIA LUCIA JIMENEZ, MA,PT,PC

Doing business as

Elmhurst Balance & Physical Therapy

Practice address

9131 Queens Blvd
Suite 314
Elmhurst, NY 11373-5501

Phone

(718) 205-3435

Fax

(718) 205-2402

NPI assigned

Dec 28, 2010

Last updated

Jan 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. M. Lucia Jimenez, MA, PT

Title

Clinical Director

Phone

(718) 205-3435

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Elmhurst Balance & Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Lucia Jimenez-Ulloa, P.T.

  • Physical Therapist
  • Oakland Gardens, NY
  • NPI 1528100989
  Medicare reassignment NPD
• Yin Sin Chin

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1770640971
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1093019440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 314",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735501",
            "telephone_number": "718-205-3435",
            "fax_number": "718-205-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 314",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735501",
            "telephone_number": "718-205-3435",
            "fax_number": "718-205-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LUCIA JIMENEZ, MA,PT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "M. LUCIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-205-3435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9008690",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03245654",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "Q072P1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhurst Balance & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elzbieta Marchelska, M.D.
• Nicole Mardak
• Konstantinos Margetis, M.D.
• Victoria Lynn Margolies, LCSW
• Julia K. Margolis, LCSW
• Mario Alo Go, DMD PC
• Mark Liu DDS PC
• Diana Marcela Marmolejo Posso, M.D.
• Ugynnie Guillermo Marquez Rosarion, PT
• Simon D Marshall, CASAC

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.