Active NPI
Sunny Rey Pacle Ignes
- Physical Therapist
- Briarwood, NY
National Provider Identifier
1497089239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015939
- Practice address
- 14742 Hoover Ave
Briarwood, NY 11435-2140 - Phone
- (718) 523-1131
- Fax
- (718) 523-1131
- NPI assigned
- Sep 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 015939 | NY | Primary |
Addresses
Primary practice location
14742 Hoover Ave
Briarwood, NY 11435-2140
Mailing address
14742 Hoover Ave
Briarwood, NY 11435-2140
Phone (718) 523-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015939 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254009600000",
"number": "1497089239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14742 HOOVER AVE",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352140",
"telephone_number": "718-523-1131",
"fax_number": "718-523-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14742 HOOVER AVE",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352140",
"telephone_number": "718-523-1131",
"fax_number": "718-523-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNES",
"first_name": "SUNNY REY",
"middle_name": "PACLE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-27",
"last_updated": "2009-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.