Jose Jonathan Cancino, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019761-1 Issued in NY

Practice address

20 Peachtree CT
#105
Holbrook, NY 11741-4616

Phone

(631) 467-3700

Fax

(631) 467-0928

NPI assigned

Jun 2, 2006

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Rehab Occupational Physical Hand Therapy PLLCGroup PAC ID 3072803782, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Rehab Occupational Physical Hand Therapy PLLC

  • Occupational Therapist
  • Fresh Meadows, NY
  • NPI 1265895718
  Medicare reassignment Care Compare group
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD
• Queens Long Island Medical Group, P.C.

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1346287703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CATOR AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052055",
            "telephone_number": "201-761-0136",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "#105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCINO",
        "first_name": "JOSE",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Cabble, LPN
• Catherine Caesarbrown, LMHC 003562
• Dean Calcaterra, SEIT
• Elizabeth Campagna
• Toni Marie Campiglia, LMT
• Melody Caporaso, M.A
• Mackenzie Logan Carr
• Andrea Carroll
• Brian C Carroll, DCPC
• Deanna Marie Cassino, PA-C

• Physical Therapist in Holbrook, NY
• Providers in Holbrook, 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 Oct 12, 2007; 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.