Organization Active NPI

Angeles Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1437931375
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ANGELES PHYSICAL THERAPY PC
Practice address
65 Fort Washington Ave
New York, NY 10032-4634
Phone
(201) 286-2114
Fax
(201) 385-5074
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Dogie AngelesNPI 1366654683
Title
President
Phone
(201) 286-1403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

65 Fort Washington Ave
New York, NY 10032-4634

Mailing address

3 Fern Ave
Dumont, NJ 07628-3508
Phone (201) 286-2114

Other practice location 1

9211 35th Ave Ste 1E
Jackson Heights, NY 11372-5839
Phone (201) 286-2114

Other practice location 2

615 W 173rd St Apt 1C
New York, NY 10032-1619
Phone (201) 286-2114

Other practice location 3

2027 Jerome Ave
Bronx, NY 10453-1803
Phone (201) 286-2114

Other practice location 4

91 Graham Ave
Brooklyn, NY 11206-3319
Phone (201) 286-2114

Other practice location 5

175 Audubon Ave
New York, NY 10033-8720
Phone (201) 286-2114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611001819 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961944533 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

4580 Broadway
New York, NY 10040

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1437931375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FERN AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283508",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324634",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9211 35th Ave Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113725839",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W 173rd St Apt 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321619",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2027 Jerome Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104531803",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112063319",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Audubon Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100338720",
            "country_code": "US",
            "telephone_number": "201-286-2114",
            "fax_number": "201-385-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELES PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "DOGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-286-1403",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.