Active NPI
Maria Silvina Cecilia-Alegre Agao, PT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1194920686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017104
- Practice address
- 907 E Tremont Ave
Bronx, NY 10460-4301 - Phone
- (718) 220-8293
- Fax
- (718) 220-8296
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 017104 | NY | Primary |
Addresses
Primary practice location
907 E Tremont Ave
Bronx, NY 10460-4301
Mailing address
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017104 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1211 White Plains Rd
Bronx, NY 10472-4900
1211 WPR Medical Serices
1211 White Plains Road
Bronx, NY 10472-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017104 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1211 WPR Medical Services PC | Current | Accepting new patients | |
| Siuc Medical PC | Current | Accepting new patients | |
| R.G. Medical, PC | Past | Accepting new patients | |
| Doctors United, Inc | Past | Accepting new patients |
Locations
1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338
326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1467826594
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1437247509
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194920686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-8077",
"fax_number": "914-328-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104604301",
"telephone_number": "718-220-8293",
"fax_number": "718-220-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAO",
"first_name": "MARIA SILVINA",
"middle_name": "CECILIA-ALEGRE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "017104",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, 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.
- 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.