Individual provider Active NPI

Adrian Dimaano

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1427819580
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051787 Issued in NY
Practice address
11048 72ND Ave Apt 4H
Forest Hills, NY 11375-4940
Phone
(508) 410-5625
NPI assigned
Jan 17, 2024
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 051787 NY Primary
Physical Therapy Assistant 225200000X 013678 NY

Addresses

Primary practice location

11048 72ND Ave Apt 4H
Forest Hills, NY 11375-4940

Mailing address

11048 72ND Ave Apt 4H
Forest Hills, NY 11375-4940
Phone (508) 410-5625

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

LicenseStateTypeSpecialty
051787NYMDPhysical Therapist
013678NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1427819580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 72ND AVE APT 4H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754940",
            "telephone_number": "508-410-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 72ND AVE APT 4H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754940",
            "telephone_number": "508-410-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "ADRIAN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051787",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.