Ellen May Almodovar, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

010801 Issued in NY

Practice address

208 N Kings Ave
Massapequa, NY 11758-3324

Phone

(516) 795-8464

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1437467701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N KINGS AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583324",
            "telephone_number": "516-795-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N KINGS AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583324",
            "telephone_number": "516-795-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR",
        "first_name": "ELLEN",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "010801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.