Individual provider Active NPI

Dogie Recabar Angeles, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1366654683
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028114 Issued in NY
Practice address
65 Fort Washington Ave
New York, NY 10032-4634
Phone
(201) 286-2114
Fax
(201) 385-5074
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 028114 NY Primary

Addresses

Primary practice location

65 Fort Washington Ave
New York, NY 10032-4634

Mailing address

3 Fern Ave
Dumont, NJ 07628-3508
Phone (201) 218-2208

Other practice location 1

2027 Jerome Ave
Bronx, NY 10453-1803
Phone (201) 286-2114

Other practice location 2

65 Fort Washington Ave
New York, NY 10032-4634
Phone (201) 286-2114

Other practice location 3

615 W 173rd St Apt 1C
New York, NY 10032-1619
Phone (201) 286-2114

Other practice location 4

9211 35th Ave Ste Apt 1E
Jackson Heights, NY 11372-5866
Phone (201) 286-2114

Other practice location 5

175 Audubon Ave
New York, NY 10033-8720
Phone (201) 286-2114

Other practice location 6

91 Graham Ave
Brooklyn, NY 11206-3319
Phone (201) 286-2114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000779 NY Practitioner - Physical Therapist in Private Practice 7517064496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angeles Physical Therapy PC Physical Therapist CurrentSince May 5, 2024 Accepting new patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Theradynamics Physical Rehabilitation Physical Therapist Past Accepting new patients

Locations

2027 Jerome Ave
Bronx, NY 10453
Phone (718) 294-1949

9211 35th Ave
Ste 1E
Jackson Hts, NY 11372
Phone (418) 429-4555

615 W 173rd St
Apt 1C
New York, NY 10032
Phone (212) 222-0600

601 W 163rd St
New York, NY 10032
Phone (212) 433-0700

175 Audubon Ave
New York, NY 10033
Phone (201) 286-2114

Networks

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

Organizations & group practices 3

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1366654683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FERN AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283508",
            "telephone_number": "201-218-2208",
            "fax_number": "201-385-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324634",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2027 Jerome Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104531803",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324634",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W 173rd St Apt 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321619",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9211 35th Ave Ste Apt 1E",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113725866",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Audubon Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100338720",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112063319",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "DOGIE",
        "middle_name": "RECABAR",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.