Andrey Guinchoma Patangan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33488 Issued in FL

Practice address

5900 W Sample Rd Apt 304
Coral Springs, FL 33067-3268

Phone

(954) 242-8016

NPI assigned

Mar 15, 2017

Last updated

May 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Delaware Sports Care and Rehabilitation, LLC

  dba Professional Physical Therapy and Sports Care

  • Physical Therapist
  • Seaford, DE
  • NPI 1982750931
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1487195061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W SAMPLE RD APT 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673268",
            "telephone_number": "954-242-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W SAMPLE RD APT 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673268",
            "telephone_number": "954-242-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANGAN",
        "first_name": "ANDREY",
        "middle_name": "GUINCHOMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33488",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayba Parveen- Answer
• Vikram Singh Parwana, APRN
• Judy Ann Pasiona
• Sharon Kristen Pass, L.M.T.
• Tessilya Passley
• Sara Patch
• Poonam Patel Desai, DO, MS
• Ankitkumar Patel, PT
• Bijlee Pankaj Patel, PTA
• Ishani Patel

• Physical Therapist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.