Active NPI
Mary Katherine Binueza Dumancas, PT
- Physical Therapist
- Woodhaven, NY
National Provider Identifier
1457085367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046044
- Practice address
- 7922 Jamaica Ave
Woodhaven, NY 11421-1801 - Phone
- (347) 494-5684
- Fax
- (347) 494-5641
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046044 | NY | Primary |
Addresses
Primary practice location
7922 Jamaica Ave
Woodhaven, NY 11421-1801
Mailing address
7907 Jamaica Ave
Woodhaven, NY 11421-1142
Phone (347) 494-5684
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Webpt | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260416000934 | NY | Order and Referring Only - Physical Therapist in Private Practice | 8921574005 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handworks OT PC | Current | Accepting new patients | |
| Thera Dynamic Physical Therapy P.C | Physical Therapist | Current | Accepting new patients |
Locations
7922 Jamaica Ave
Woodhaven, NY 11421
Phone (347) 494-5684
Organizations & group practices 2
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.
-
- Specialist
- Flushing, NY
- NPI 1639441652
-
- Physical Therapist
- Woodhaven, NY
- NPI 1750471124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1457085367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7907 JAMAICA AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211142",
"telephone_number": "347-494-5684",
"fax_number": "347-494-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7922 JAMAICA AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211801",
"telephone_number": "347-494-5684",
"fax_number": "347-494-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMANCAS",
"first_name": "MARY KATHERINE",
"middle_name": "BINUEZA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046044",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Webpt",
"affiliation": "N",
"endpointDescription": "Webpt EmR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7922 Jamaica Ave",
"city": "Woodhaven",
"state": "NY",
"country_code": "US",
"postal_code": "114211801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.