Tristan Noel Oliva Pador, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020392-1 Issued in NY

Practice address

21203 75TH Ave
Apartment 6F
Oakland Gardens, NY 11364-3359

Phone

(516) 314-4769

Fax

(718) 464-0520

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21203 75TH AVE",
            "address_2": "APARTMENT 6F",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643359",
            "telephone_number": "516-314-4769",
            "fax_number": "718-464-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21203 75TH AVE",
            "address_2": "APARTMENT 6F",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643359",
            "telephone_number": "516-314-4769",
            "fax_number": "718-464-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOR",
        "first_name": "TRISTAN NOEL",
        "middle_name": "OLIVA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020392-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006051A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Gardens Pharmacy Corp
• Sen Mett Obi Shaaim Maa, M.S., CCC-SLP
• Angela Oh
• Jaime Nicole Openden, M.S. CCC-SLP
• Beatrice Oriol
• Eun Soo Pak, MS, CCC/SLP
• Celia Palaganas, DDS
• Carol Park
• Eunmin Park
• Ji Hyae Park

• Physical Therapist in Oakland Gardens, NY
• Providers in Oakland Gardens, 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 Jul 8, 2007; 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.