Active NPI
Apolonio Aguilera Principe Jr., PT
- Physical Therapist
- Scarsdale, NY
National Provider Identifier
1386670925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024321
- Practice address
- 1075 Central Park Ave
Scarsdale, NY 10583-3242 - Phone
- (800) 750-8616
- Fax
- (845) 362-8474
- NPI assigned
- Jun 24, 2006
- 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 | 024321 | NY | Primary |
Addresses
Primary practice location
1075 Central Park Ave
Scarsdale, NY 10583-3242
Mailing address
26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
Phone (800) 750-8616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024321-1 | Other | NY | NY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024321 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1386670925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 FIREMENS MEMORIAL DR",
"address_2": "SUITE 115",
"city": "POMONA",
"state": "NY",
"postal_code": "109703553",
"telephone_number": "800-750-8616",
"fax_number": "845-362-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833242",
"telephone_number": "800-750-8616",
"fax_number": "845-362-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCIPE",
"first_name": "APOLONIO",
"middle_name": "AGUILERA",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE",
"identifier": "024321-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
- Celina Ponce, MD
- Wendy Portnoff, LCSW
- Prabjot Channa, Eye Physician and Surgeon PLLC
- Premier Surgical Services, P.C.
- Michelle T. Presser, M.D.
- Pro Sports Physical Therapy of Westchester, PC
- Mary E Procidano, PH.D.
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Oral Surgery Alliance of Downstate New York PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.