Individual provider Active NPI

Shaun Pamintuan, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1295280246
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040578 Issued in NY
Practice address
28 Frost St
Brooklyn, NY 11211-1203
Phone
(347) 201-0598
NPI assigned
Aug 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 040578 NY Primary

Addresses

Primary practice location

28 Frost St
Brooklyn, NY 11211-1203

Mailing address

447 Broadway
2ND Floor #805
New York, NY 10013-2562
Phone (562) 607-7303

Other practice location 1

552 Broadway
4th Floor
New York, NY 10012-3922
Phone (212) 226-6704

Other practice location 2

98 S 4th St Unit B
Brooklyn, NY 11249-5537
Phone (562) 607-7303

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
040578NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1295280246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROADWAY",
            "address_2": "2ND FLOOR #805",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132562",
            "telephone_number": "562-607-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FROST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111203",
            "telephone_number": "347-201-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 Broadway",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100123922",
            "country_code": "US",
            "telephone_number": "212-226-6704",
            "fax_number": "212-226-8207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 S 4th St Unit B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112495537",
            "country_code": "US",
            "telephone_number": "562-607-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMINTUAN",
        "first_name": "SHAUN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.