Organization Active NPI

Quinta Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1457032419
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
QUINTA PHYSICAL THERAPY PC
Practice address
13668 Roosevelt Ave Ste 5C
Flushing, NY 11354-5510
Phone
(956) 539-9631
Fax
(929) 249-5576
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Diether Paul Ofaril Quintana, DPTNPI 1518550342
Title
President
Phone
(956) 539-9631

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

13668 Roosevelt Ave Ste 5C
Flushing, NY 11354-5510

Mailing address

3275 44TH St Apt 1R
Astoria, NY 11103-2312
Phone (956) 539-9631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908001691 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022472091 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

7402 Grand Ave
#3A
Elmhurst, NY 11373
Phone (917) 396-1017

13668 Roosevelt Ave
Ste 5C
Flushing, NY 11354
Phone (956) 539-9631

Practitioners & affiliated clinicians

Practitioners 1

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1457032419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 44TH ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032312",
            "telephone_number": "956-539-9631",
            "fax_number": "929-249-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 5C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "956-539-9631",
            "fax_number": "929-249-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "DIETHER PAUL",
        "authorized_official_middle_name": "OFARIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-539-9631",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.