Walter Maniquis Pagsibigan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4545301 Issued in NY

Practice address

8717 Apt 4F
52ND Ave.
Elmhurst, NY 11373

Phone

(917) 345-2135

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Rehabilitation Consultant Medical PCGroup PAC ID 9739350695, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Rehabilitation Consultant Medical PC

  • Pain Clinic/Center
  • Rego Park, NY
  • NPI 1770880403

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1295330991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 APT 4F",
            "address_2": "52ND AVE.",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-345-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 APT 4F",
            "address_2": "52ND AVE.",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-345-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGSIBIGAN",
        "first_name": "WALTER",
        "middle_name": "MANIQUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "4545301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "725733132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicente Rabe Pacheco III, PT
• Andresito B Pacis, MD
• Karen Estaca Pacleb, RPT
• Isamar Estefany Padilla Juarez, LMSW
• Koshi A Padnani, M.D.
• Pedro Gabriel Paiva Bueno, MD
• Richielady Sumanqui Palma, RPT
• Kenan Jared Mediodia Palmares, NP
• Susana Margarita Palmares, M.D.
• John Luca Palmieri, PHD

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, 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 Dec 1, 2020; 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.