Individual provider Active NPI

Miguel Landron, DPT

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1124323712
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038858-1 Issued in NY
Practice address
17232 Highland Ave
Jamaica, NY 11432-2862
Phone
(808) 280-7311
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-3025 HI
Physical Therapist 225100000X 038858-1 NY Primary

Addresses

Primary practice location

17232 Highland Ave
Jamaica, NY 11432-2862

Mailing address

172-32 Highland Ave
Jamaica, NY 11432

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
038858-1NYMDPhysical Therapist
PT-3025HIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates of Maui, LLC Past Accepting new patients
Esser Corp Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1124323712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172-32 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17232 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322862",
            "telephone_number": "808-280-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRON",
        "first_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT-3025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.