Divine Grace Meer Padilla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027946 Issued in NY

Practice address

1501 Imperial Ave
New Hyde Park, NY 11040

Phone

(718) 310-0892

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Divine Grace Manaog Meer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Divine Padilla PT PC

  • Early Intervention Provider Agency
  • New Hyde Park, NY
  • NPI 1578837654
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1306893185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 IMPERIAL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403945",
            "telephone_number": "718-310-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 IMPERIAL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-310-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "DIVINE GRACE",
        "middle_name": "MEER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVINE GRACE",
            "last_name": "MEER",
            "middle_name": "MANAOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simone Alexa Oziel
• Jessica Anne Ozsvath, M.D.
• P Frum Optical Inc
• Indira Beth Paccione, OTR/L
• Samuel Paci, MD
• Rafael Padilla, MD
• Vellore T Padmanabhan, MD
• Alyssa Padover, MD
• Samantha Paez, NP
• Carl Francis Pagano, DDS

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, 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 Apr 8, 2011; 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.