Ann Marie Aldeguer-Dimatulac, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023262-1 Issued in NY

Practice address

4434 Amboy Rd
Staten Island, NY 10312-3866

Phone

(718) 227-7015

Fax

(718) 227-6411

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447205232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 HORSEBLOCK RD",
            "address_2": "SUITE 7",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382137",
            "telephone_number": "631-451-3773",
            "fax_number": "631-451-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123866",
            "telephone_number": "718-227-7015",
            "fax_number": "718-227-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDEGUER-DIMATULAC",
        "first_name": "ANN MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023262-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02762123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Alcala, MD
• Rosemarie Alcamo, RPH
• Jose Luis Alcaraz Alvarez
• Scarlett Alcudia
• Mohammad Khaled Odeh Aldalahmeh, M.D.
• Christine Aldinger, RPA-C
• Alea Physical Therapy P.C.
• Alecia M. Giovinazzo MD LLC
• Alef Health Center LLC
• Alfred Vincent Alejandro

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.