Individual provider Active NPI

Rafael Nunez, DPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1134831175
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049629-01 Issued in NY
Practice address
3006 33Rd St Apt 3E
Astoria, NY 11102-1502
Phone
(212) 470-1553
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 049629-01 NY Primary

Addresses

Primary practice location

3006 33Rd St Apt 3E
Astoria, NY 11102-1502

Mailing address

3006 33Rd St Apt 3E
Astoria, NY 11102-1502
Phone (212) 470-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126002522 NY Practitioner - Physical Therapist in Private Practice 3678944899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimized Independence OT PLLCGroup PAC ID 4183996390, 14 clinicians

Practice addresses (Care Compare)

78 Reed Dr
Roslyn, NY 11576-3216
Phone (718) 490-2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049629-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimized Independence OT PLLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1134831175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 33RD ST APT 3E",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021502",
            "telephone_number": "212-470-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 33RD ST APT 3E",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021502",
            "telephone_number": "212-470-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "RAFAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049629-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.