Organization Active NPI

Palo Physical Therapy and Rehabilitation PC

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1497139562
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PALO PHYSICAL THERAPY AND REHABILITATION PC
Practice address
9439 55TH Ave
Elmhurst, NY 11373-4610
Phone
(347) 586-2271
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Ronnie Pedrosa Bargayo, PT
Title
President
Phone
(347) 586-2271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9439 55TH Ave
Elmhurst, NY 11373-4610

Mailing address

9439 55TH Ave
Elmhurst, NY 11373-4610
Phone (347) 586-2271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1497139562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9439 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734610",
            "telephone_number": "347-586-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9439 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734610",
            "telephone_number": "347-586-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PHYSICAL THERAPY AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BARGAYO",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "PEDROSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-586-2271",
        "authorized_official_credential": "PT"
    },
    "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 Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.