Kirpal Candy Panilag, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035581 Issued in NY

Practice address

7909 Northern Blvd
Jackson HTS, NY 11372-1223

Phone

(347) 901-8592

NPI assigned

Jan 9, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2021.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1093137010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 63RD DR APT 4F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742312",
            "telephone_number": "347-901-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 NORTHERN BLVD",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113721223",
            "telephone_number": "347-901-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANILAG",
        "first_name": "KIRPAL CANDY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "035881",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "628727472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Steven Levine, DDS
• Thiri Myint, MD
• Maritza Nunez, DDS
• Opus Therapy LCSW, PC
• Eduardo Jorge Pallanza, LMHC
• Susan Perez, LPN
• Queens County Neuropsychiatric Institute Inc.
• Adam Lloyd Reynolds, LMSW, CASAC
• Elpidio S Rosario, DDS
• Maria Claudia Torres, DENTIST

• All providers in Jackson HTS, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.