Active NPI
Tatay Ninong Physical Therapy PC
- Physical Therapy Clinic/Center
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 029005
- 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
- Last updated
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 029005 | NY | Primary |
Addresses
Primary practice location
7909B Northern Blvd
Jackson Heights, NY 11372-1223
Mailing address
3344 105TH St Apt 3
Corona, NY 11368-1121
Phone (347) 605-7946
National Provider Directory
National Provider DirectoryLocations
7909B Northern Blvd
Jackson Hts, NY 11372
Phone (718) 507-1438
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Bronx, NY
- NPI 1861705683
NPI Registry JSON
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": []
}
Other providers in Jackson Heights, NY
Sources for this page
- 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.