Individual provider Active NPI

Mary Katherine Binueza Dumancas, PT

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1457085367
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046044 Issued in NY
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
SOAP URL Webpt Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416000934 NY Order and Referring Only - Physical Therapist in Private Practice 8921574005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Handworks OT PC CurrentSince Jul 1, 2022 Accepting new patients
Thera Dynamic Physical Therapy P.C Physical Therapist CurrentSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.