Tatay Ninong Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

029005 Issued in NY

Legal business name

TATAY NINONG PHYSICAL THERAPY PC

Practice address

7909B Northern Blvd
Jackson Heights, NY 11372-1223

Phone

(718) 507-1438

Fax

(718) 507-1530

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kristian Mangubat, RPT

Title

Manager/Owner

Phone

(347) 605-7946

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1316375892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 105TH ST APT 3",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681121",
            "telephone_number": "347-605-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909B NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721223",
            "telephone_number": "718-507-1438",
            "fax_number": "718-507-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATAY NINONG PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MANGUBAT",
        "authorized_official_first_name": "MICHAEL KRISTIAN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "347-605-7946",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Talley
• Maria Tamay, DDS
• Jason Tang
• Karen Tang, MSW
• Lixandra Tapia, LCSW
• Godrick Allister Taylor
• Iwona Tecza, PTA
• Osvaldo Tejeiro, M.D.
• David Tenembaum, MD
• Nina Teng, OD

• Physical Therapy Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.