Active NPI
Nortelina T Casanova, PHYSICAL THERAPIST
- Physical Therapist
- Fresh Meadows, NY
National Provider Identifier
1396327912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047147
- Practice address
- 7110 Park Ave Apt 6N
Fresh Meadows, NY 11365-4150 - Phone
- (646) 520-9197
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- 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 | 047147 | NY | Primary |
Addresses
Primary practice location
7110 Park Ave Apt 6N
Fresh Meadows, NY 11365-4150
Mailing address
7110 Park Ave Apt 6N
Fresh Meadows, NY 11365-4150
Phone (646) 520-9197
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 |
|---|---|---|---|
| 047147 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1396327912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 PARK AVE APT 6N",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654150",
"telephone_number": "646-520-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 PARK AVE APT 6N",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654150",
"telephone_number": "646-520-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASANOVA",
"first_name": "NORTELINA",
"middle_name": "T",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.