Noemi B Rogales-Ilagan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00686200 Issued in NJ

Practice address

1219 Shetland Dr
Union, NJ 07083-5233

Phone

(908) 687-4452

NPI assigned

Jul 31, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1376929463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SHETLAND DR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835233",
            "telephone_number": "908-687-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SHETLAND DR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835233",
            "telephone_number": "908-687-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALES-ILAGAN",
        "first_name": "NOEMI",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00686200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.