Ma Dolores Manubay Inato

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051060 Issued in NY

Practice address

17119 Hillside Ave
Jamaica, NY 11432-4548

Phone

(171) 840-0700

NPI assigned

Nov 2, 2024

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Back and Body Medical Care, P.C.Group PAC ID 6709911753, 3 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 and National Provider Directory roles.

• Back and Body Medical Care, P.C.

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1306021274
  Medicare reassignment Care Compare group NPD
• Active United Care Physical Therapy, PLLC

  • Physical Therapist
  • Jamaica, NY
  • NPI 1427661065
  Medicare reassignment NPD

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1306669924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 66TH AVE APT 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744109",
            "telephone_number": "516-923-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17119 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324548",
            "telephone_number": "171-840-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INATO",
        "first_name": "MA DOLORES",
        "middle_name": "MANUBAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamau I Imarogbe Grantham, PH. D.
• King Imasuen, OT
• Shira Immamalee, OTR/L
• Francisca Ebilu Imobhio
• Ina Bernard ABA Services Inc
• Indaaz Inc.
• Indaaz Inc.
• Christopher Inderjit, PHYSICIAN ASSISTANT
• Infinity Services, Inc.
• Alberto Inghirami, MD

• Physical Therapist in Jamaica, NY
• Providers in Jamaica, 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 Nov 2, 2024; 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.