Active NPI
Wilbert Cubillan, PT
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1134324122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019957
- Practice address
- 210 E Sunrise Hwy
Suite 101
Valley Stream, NY 11581-1329 - Phone
- (516) 596-2273
- Fax
- (516) 596-9606
- NPI assigned
- Jun 19, 2007
- 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 | 019957 | NY | Primary |
Addresses
Primary practice location
210 E Sunrise Hwy
Suite 101
Valley Stream, NY 11581-1329
Mailing address
15928 92ND St
Howard Beach, NY 11414-3122
Phone (718) 529-4384
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019957 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adept Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Valley Stream, NY
- NPI 1104025410
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134324122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15928 92ND ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143122",
"telephone_number": "718-529-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E SUNRISE HWY",
"address_2": "SUITE 101",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811329",
"telephone_number": "516-596-2273",
"fax_number": "516-596-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBILLAN",
"first_name": "WILBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.