Individual provider Active NPI

Juvy Caballes, PT

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1336456177
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32440 Issued in NY
Practice address
5120 Goldsmith St
Elmhurst, NY 11373-4241
Phone
(646) 704-6667
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32440 NY Primary

Addresses

Primary practice location

5120 Goldsmith St
Elmhurst, NY 11373-4241

Mailing address

5120 Goldsmith St
Elmhurst, NY 11373-4241
Phone (646) 704-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113000192 NY Practitioner - Physical Therapist in Private Practice 8224264619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangoos Physical Therapy PCGroup PAC ID 0749593788, 3 clinicians

Practice addresses (Care Compare)

825 Walton Ave
Bronx, NY 10451-2306
Phone (718) 585-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032440NYMDPharmacist
32440NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
Mangoos Physical Therapy P.C CurrentSince Jun 1, 2022 Accepting new patients

Locations

825 Walton Ave
Bronx, NY 10451
Phone (718) 402-1800

903 Sheridan Ave
Bronx, NY 10451
Phone (347) 605-7946

1314 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 377-5300

10603 Corona Ave
Flushing, NY 11368
Phone (917) 745-0091

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1336456177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 GOLDSMITH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734241",
            "telephone_number": "646-704-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 GOLDSMITH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734241",
            "telephone_number": "646-704-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLES",
        "first_name": "JUVY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "32440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.