Jerome Lucena Amanquiton
Individual provider Active NPI Physical Therapist · Jackson Heights, NY
NPI 1295922565 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1295922565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 029755 (NY)
- Practice address
- 8810 34TH Ave Apt 2H
Jackson Heights, NY 11372-3418 - Phone
- (347) 285-7701
- NPI assigned
- Oct 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029755 | NY | Yes |
Addresses
Primary practice location
8810 34TH Ave Apt 2H
Jackson Heights, NY 11372-3418
Mailing address
8810 34TH Ave Apt 2H
Jackson Heights, NY 11372-3418
Phone (347) 285-7701
Other providers in Jackson Heights, NY
- Alvaro Ramirez Physician PC
- Alza Physical Therapy PC
- Ronald Fernando Alzate Arroyave
- Heather Marie Alzate
- Kattia E Amadias
- Vincenzo Amato
- Katherine Laing Ambia
- American Planet Physical Therapy PC
- Americanos Optical Corp
- Ames Dental.P.C
All providers in Jackson Heights, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.