Christian Cardenas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045093 Issued in NY

Practice address

12308 Metropolitan Ave
Kew Gardens, NY 11415-2710

Phone

(718) 880-2385

Fax

(718) 880-2386

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Promet Physical Therapy PC

  • Physical Therapist
  • Glendale, NY
  • NPI 1710174784
  Medicare reassignment NPD
• Moriarty Physical Therapy, P.C.

  • Physical Therapist
  • Poughkeepsie, NY
  • NPI 1245200518
  Medicare reassignment
• Promet Physical Therapy, PC

  • Physical Therapist
  • Kew Gardens, NY
  • NPI 1164738936
  NPD (past)
• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1235775164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610",
            "fax_number": "718-360-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152710",
            "telephone_number": "718-880-2385",
            "fax_number": "718-880-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "CHRISTIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Butler, LMFT
• Ronald Yao Cabisudo, PT
• Leacee Caday-Go, PT
• Kevin Caicedo
• Georgina Campos
• Carrie a. Palmer, LLC
• Aaron Phillip Castro, M.D.
• Centered Psychiatry of New Mexico LLC
• Century Care Pharmacy Inc
• George Chase, DO

• Physical Therapist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.