Individual provider Active NPI

John Philip Calleja Rius, PT

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1194741470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026771 Issued in NY
Practice address
6607 Alderton St
Rego Park, NY 11374-5205
Phone
(718) 275-7790
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 026771 NY Primary

Addresses

Primary practice location

6607 Alderton St
Rego Park, NY 11374-5205

Mailing address

9825 64TH Rd Apt 2D
Rego Park, NY 11374-3401
Phone (718) 606-2654

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194741470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 64TH RD APT 2D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743401",
            "telephone_number": "718-606-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745205",
            "telephone_number": "718-275-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIUS",
        "first_name": "JOHN PHILIP",
        "middle_name": "CALLEJA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, 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.

Verify at the official NPI Registry.