Individual provider Active NPI

Maria Magallanes

  • Physical Therapist
  • New York, NY
National Provider Identifier
1104388529
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044164 Issued in NY
Practice address
67 W 55TH St Ste 205
New York, NY 10019-4902
Phone
(212) 759-8899
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044164 NY Primary

Addresses

Primary practice location

67 W 55TH St Ste 205
New York, NY 10019-4902

Mailing address

67 W 55TH St Ste 205
New York, NY 10019-4902
Phone (212) 759-8899

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
044164NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bone and Joint Specialists, PLLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
NJS Physical Medicine and Rehabilitation, PC PastSince Oct 1, 2023 Accepting new patients
South Island Orthopedics, P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

67 W 55th St
Ste 205
New York, NY 10019
Phone (212) 759-4553

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1104388529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W 55TH ST STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194902",
            "telephone_number": "212-759-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W 55TH ST STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194902",
            "telephone_number": "212-759-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.