Individual provider Active NPI

Patricia Clarisse Eugenio Espana

  • Physical Therapist
  • New York, NY
National Provider Identifier
1194582346
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044704 Issued in NY
Practice address
10 E 39TH St
New York, NY 10016-0111
Phone
(212) 447-0300
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 044704 NY Primary

Addresses

Primary practice location

10 E 39TH St
New York, NY 10016-0111

Mailing address

8837 69TH Ave
Forest Hills, NY 11375-6605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001906 NY Practitioner - Physical Therapist in Private Practice 7214375633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Park Physical Medicine and Rehabilitation P.C.Group PAC ID 1759294135, 9 clinicians

Practice addresses (Care Compare)

10 E 39TH St
New York, NY 10016-0111
Phone 2129571930111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044704NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Physical Medicine and Rehabilitation P.C. CurrentSince Mar 8, 2024 Accepting new patients

Locations

2825 3rd Ave
Apt 4
Bronx, NY 10455
Phone (212) 447-0300

10 E 39th St
Fl 3
New York, NY 10016
Phone (212) 447-0300

2 W 86th St
New York, NY 10024
Phone (212) 724-7050

10 E 39th St
New York, NY 10016
Phone (212) 447-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1194582346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 69TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160111",
            "telephone_number": "212-447-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANA",
        "first_name": "PATRICIA CLARISSE",
        "middle_name": "EUGENIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.