Individual provider Active NPI

Margarita Muguruza, PHYSICAL THERAPIST

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1427140714
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025885 Issued in NY
Practice address
156 11 Aguilar Ave
Suite P3
Flushing, NY 11367
Phone
(718) 380-4750
NPI assigned
Sep 28, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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 025885 NY Primary

Addresses

Primary practice location

156 11 Aguilar Ave
Suite P3
Flushing, NY 11367

Mailing address

156 11 Aguilar Ave
Suite P3
Flushing, NY 11367
Phone (718) 380-4750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000684 NY Practitioner - Physical Therapist in Private Practice 4880690122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Baranov Physical Therapy PCGroup PAC ID 0244297620, 2 clinicians

Practice addresses (Care Compare)

4119 18TH Ave
Brooklyn, NY 11218-5709
Phone (718) 975-3515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Baranov Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Anarafena Medical, PLLC PastSince Jan 1, 2019 Accepting new patients
Quentin Medical PC Past Accepting new patients
Source of Physical Therapy PC PastSince Sep 26, 2013 Accepting new patients

Locations

4119 18th Ave
Brooklyn, NY 11218
Phone (718) 245-6042

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1427140714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 11 AGUILAR AVE",
            "address_2": "SUITE P3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-380-4750",
            "fax_number": "718-380-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 11 AGUILAR AVE",
            "address_2": "SUITE P3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-380-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGURUZA",
        "first_name": "MARGARITA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.