Pinoy Physical Therapy, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0259211 Issued in NY

Legal business name

PINOY PHYSICAL THERAPY, PC

Practice address

4024 82ND St FL 2
Elmhurst, NY 11373-1305

Phone

(718) 426-9595

Fax

(718) 426-2729

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bognay Dury Domanas, LICENSE PTNPI 1912954140

Title

Owner Pysical Therapist

Phone

(718) 426-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bognay Dury Domanas, LICENSED PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1912954140
  Medicare reassignment NPD Authorized official
• Juliza Santiago, R.P.T

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1013087980
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1437196706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 82ND ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731305",
            "telephone_number": "718-426-9595",
            "fax_number": "718-426-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 82ND ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731305",
            "telephone_number": "718-426-9595",
            "fax_number": "718-426-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINOY PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "DOMANAS",
        "authorized_official_first_name": "BOGNAY",
        "authorized_official_middle_name": "DURY",
        "authorized_official_title_or_position": "OWNER PYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-426-9595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSE PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0259211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02692708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Pimentel
• Raquel Stefania Pina
• Paula V Pineda, SLP-CCC, TSSLD
• Stella Pinhas, MD
• Agostinho Camara Pinheiro, MD
• Nuchanart Pinying, LCSW
• Supawadee Pitakmongkolkul, NP-C
• Pitti Adult Daycare Inc
• Paul David Pivarnik, LMT
• Laura Planche, MEDICAL DOCTOR

• Specialist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.