Active NPI
Marvin N. Catibog, P.T.
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1356780134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033509
- Practice address
- 172-17 Jamaica Avenue
Jamaica, NY 11432 - Phone
- (848) 391-4379
- NPI assigned
- Jun 14, 2013
- Last updated
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033509 | NY | Primary |
Addresses
Primary practice location
172-17 Jamaica Avenue
Jamaica, NY 11432
Mailing address
172-17 Jamaica Avenue
Jamaica, NY 11432
Phone (848) 391-4379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033509 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement Thrives Physical Therapy and Acupuncture PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Movement Thrives Physical Therapy
- Physical Therapist
- New York, NY
- NPI 1629768643
-
- Physical Therapist
- New York, NY
- NPI 1104745280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1356780134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172-17 JAMAICA AVENUE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "848-391-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172-17 JAMAICA AVENUE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "848-391-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATIBOG",
"first_name": "MARVIN",
"middle_name": "N.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
- Catholic Charities Brooklyn and Queens
- Catholic Charities Neigborhood Services
- Catholic Charities Neighborhood Services, Inc. (ACT Team - Queens)
- Catholic Medical Center of Brooklyn and Queens (Mary Immaculate Hospital)
- Catholic Medical Center of Brooklyn and Queens (Mary Immaculate Hospital)
- Dania Catulle
- Sharon Joy Bajado Cauilan, PT
- Laura Cavallaro, DPT, MS, PCS
- Tianna Shevines Cave
- Shirley Romero Cawley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.