Pamela Flores, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004366-1 Issued in NY

Practice address

8009 Winchester Blvd
Queens Village, NY 11427-2147

Phone

(718) 740-4300

NPI assigned

Jun 6, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifeline Center for Child Development

  • Adolescent and Children Mental Health Clinic/Center
  • Queens Village, NY
  • NPI 1568559581
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1285928481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 56TH ST",
            "address_2": "3FL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272147",
            "telephone_number": "718-740-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "PAMELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004366-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FK Pharmacy Inc
• Jonathan Adam Flax, DMD
• Shanice Fletcher
• Hugueline Fleurimond
• Sherby Fleurisma
• Claudia Ximena Floresdevalgaz, LMHC
• Nidia Florestal, LPN
• Sean Foley, LCSW
• Frank Fong, O.D.
• Ronald Ford

• Physical Therapy Assistant in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.