Active NPI
Sherry Capisanan
- Physical Therapist
- Astoria, NY
National Provider Identifier
1154743870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032036
- Practice address
- 29-16 23Rd Ave.
Astoria, NY 11105 - Phone
- (347) 507-2507
- Fax
- (347) 507-2577
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- 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 | 032036 | NY | Primary |
Addresses
Primary practice location
29-16 23Rd Ave.
Astoria, NY 11105
Mailing address
104-04 47TH Ave.
Apt. 3E
Corona, NY 11368
Phone (347) 608-6482
Other names 1
- Sherry Capisanan Rumbaoa
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032036 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musculoskeletal Arthritis and Joint Replacement of Queens, PC | 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.
-
- Specialist
- Flushing, NY
- NPI 1073774972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1154743870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104-04 47TH AVE.",
"address_2": "APT. 3E",
"city": "CORONA",
"state": "NY",
"postal_code": "11368",
"telephone_number": "347-608-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29-16 23RD AVE.",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11105",
"telephone_number": "347-507-2507",
"fax_number": "347-507-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPISANAN",
"first_name": "SHERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "RUMBAOA",
"middle_name": "CAPISANAN",
"code": "5",
"type": "Other Name"
}
]
}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 Jan 15, 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.