Individual provider Active NPI

Aljay Ryan B Figueroa, RPT

  • Physical Therapist
  • San Jose Saipan, MP
National Provider Identifier
1245732585
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003863 Issued in DE
Practice address
Marianas Health BLDG
BLDG Ste 102 Ghiyaghi St
San Jose Saipan, MP 96950
Phone
(670) 233-4646
Fax
(670) 233-4648
NPI assigned
Mar 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 J1-0003863 DE Primary

Addresses

Primary practice location

Marianas Health BLDG
BLDG Ste 102 Ghiyaghi St
San Jose Saipan, MP 96950

Mailing address

P.O Box 10003 PMB 1341
Saipan, MP 96950
Phone (670) 233-4646

Other identifiers 1

IdentifierTypeStateIssuer
J1-0003863OtherDELICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003341 GU Practitioner - Physical Therapist in Private Practice 2062769433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CWM Trust, LLCGroup PAC ID 6305096454, 2 clinicians

Practice addresses (Care Compare)

Chalan Pale Arnold
Middle Rd Suite 6
Saipan, MP 96950-0087
Phone (670) 233-3647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0003863DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CWM Trust, LLC. CurrentSince May 21, 2018 Accepting new patients

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1245732585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 10003 PMB 1341",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIANAS HEALTH BLDG",
            "address_2": "BLDG STE 102 GHIYAGHI ST",
            "city": "SAN JOSE SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "ALJAY RYAN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J1-0003863",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.