Individual provider Active NPI

Canico Avergas Saniel, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1215186358
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016402 Issued in NY
Practice address
38 W 32ND St Ste 1300
New York, NY 10001-3877
Phone
(917) 310-1917
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 016402 NY Primary

Addresses

Primary practice location

38 W 32ND St Ste 1300
New York, NY 10001-3877

Mailing address

38 W 32ND St Ste 1300
New York, NY 10001-3877
Phone (917) 776-8719

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

State licenses

LicenseStateTypeSpecialty
016402NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Manhattan Physical Therapy PC Physical Therapist CurrentSince May 3, 2023 Accepting new patients

Locations

232 E 66th St
New York, NY 10065
Phone (212) 785-9620

232 E 66th St
Uppr
New York, NY 10065

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1215186358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013877",
            "telephone_number": "917-776-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013877",
            "telephone_number": "917-310-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIEL",
        "first_name": "CANICO",
        "middle_name": "AVERGAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016402",
            "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 Aug 27, 2024; 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.