Individual provider Active NPI

Renee Anne Ragogna

  • Physical Therapy Assistant
  • Islip, NY
National Provider Identifier
1194335380
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
009001-1 Issued in NY
Practice address
59 38TH St
Islip, NY 11751-1101
Phone
(516) 274-8972
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 009001-1 NY Primary

Addresses

Primary practice location

59 38TH St
Islip, NY 11751-1101

Mailing address

50 Rolling LN
Levittown, NY 11756-1214
Phone (917) 589-5832

Other practice location 1

50 Rolling Ln
Levittown, NY 11756-1214
Phone (917) 589-5832

Other names 1

  • Renee Anne Calma Former name

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

LicenseStateTypeSpecialty
009001-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1194335380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROLLING LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561214",
            "telephone_number": "917-589-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 38TH ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117511101",
            "telephone_number": "516-274-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Rolling Ln",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "117561214",
            "country_code": "US",
            "telephone_number": "917-589-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGOGNA",
        "first_name": "RENEE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "CALMA",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.