Active NPI
Franklin Bambalan Dela Cruz
- Physical Therapist
- New York, NY
National Provider Identifier
1114334505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030433
- Practice address
- 99 Hillside Ave
Apt. 12B
New York, NY 10040-2715 - Phone
- (347) 484-2826
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030433 | NY | Primary |
Addresses
Primary practice location
99 Hillside Ave
Apt. 12B
New York, NY 10040-2715
Mailing address
99 Hillside Ave
Apt. 12B
New York, NY 10040-2715
Phone (347) 484-2826
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1114334505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 HILLSIDE AVE",
"address_2": "APT. 12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402715",
"telephone_number": "347-484-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 HILLSIDE AVE",
"address_2": "APT. 12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402715",
"telephone_number": "347-484-2826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "FRANKLIN",
"middle_name": "BAMBALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030433",
"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 Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.