Individual provider Active NPI

Diankah T Eligon, MS, P.T.

  • Physical Therapist
  • Richmond Hill, NY
National Provider Identifier
1427185487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027599 Issued in NY
Practice address
131-11 Kew Gardens Rd Apt 5O
Richmond Hill, NY 11418-1935
Phone
(646) 552-9021
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01153500 NJ
Physical Therapist 225100000X 027599 NY Primary

Addresses

Primary practice location

131-11 Kew Gardens Rd Apt 5O
Richmond Hill, NY 11418-1935

Mailing address

13111 Kew Gardens Rd Apt 5O
Richmond Hill, NY 11418-1942
Phone (646) 552-9021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001757 NY Practitioner - Physical Therapist in Private Practice 8022317320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2324 Forest Ave
Staten Island, NY 10303-1506
Phone (718) 447-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
027599NYMDClinical Child & Adolescent Psychologist
40QA01153500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Clinical Care PLLC CurrentSince Sep 2, 2020 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Aug 1, 2015 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Aug 1, 2015 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
The Caring PT Group, PLLC Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Feb 1, 2017 Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

Organizations & group practices 7

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427185487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 KEW GARDENS RD APT 5O",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181942",
            "telephone_number": "646-552-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131-11 KEW GARDENS RD APT 5O",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181935",
            "telephone_number": "646-552-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIGON",
        "first_name": "DIANKAH",
        "middle_name": "T",
        "credential": "MS, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01153500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.