Individual provider Active NPI

Agnieszka Gabriela Pindral, DPT

  • Physical Therapist
  • Warwick, NY
National Provider Identifier
1285822262
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023051-1 Issued in NY
Practice address
25 Elm St
Warwick, NY 10990-1455
Phone
(845) 986-5555
Fax
(845) 986-5999
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 023051-1 NY
Neurology Physical Therapist 2251N0400X 023051-1 NY
Pediatric Physical Therapist 2251P0200X 023051-1 NY
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X 023051-1 NY Primary

Addresses

Primary practice location

25 Elm St
Warwick, NY 10990-1455

Mailing address

25 Elm St
Warwick, NY 10990-1407
Phone (845) 986-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702001191 NY Practitioner - Physical Therapist in Private Practice 0143541524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Aggie Pindral Physical Therapy PCGroup PAC ID 9234450610, 2 clinicians

Practice addresses (Care Compare)

45 Ronald Reagan Blvd
Warwick, NY 10990-4105
Phone (845) 986-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023051-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agnieszka Pindral PT PC Current Accepting new patients
Aggie Pindral Physical Therapy, P.C. Physical Therapist CurrentSince Mar 27, 2015 Accepting new patients
Warwick Valley Orthopedic Surgery, P.C. Past Accepting new patients

Locations

25 Elm St
Warwick, NY 10990
Phone (845) 986-5555

45 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 986-5555

Organizations & group practices 3

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285822262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901407",
            "telephone_number": "845-986-5555",
            "fax_number": "845-986-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901455",
            "telephone_number": "845-986-5555",
            "fax_number": "845-986-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDRAL",
        "first_name": "AGNIESZKA",
        "middle_name": "GABRIELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "023051-1",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "023051-1",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "023051-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.