Active NPI
Danilo Ignacio Jr., PT
- Physical Therapist
- Oswego, NY
National Provider Identifier
1497919997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029095-1
- Practice address
- 2 Debbie LN
Oswego, NY 13126-6759 - Phone
- (315) 887-0221
- NPI assigned
- Jul 14, 2008
- 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 | 029095-1 | NY | Primary |
Addresses
Primary practice location
2 Debbie LN
Oswego, NY 13126-6759
Mailing address
2 Debbie LN
Oswego, NY 13126-6759
Phone (315) 887-0221
Other practice location 1
110 W 6th St
Oswego, NY 13126-2507
Phone (315) 349-5558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029095-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Arc Rehab Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
Organizations & group practices 3
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.
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- Staten Island, NY
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-
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- West Seneca, NY
- NPI 1528109188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1497919997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DEBBIE LN",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266759",
"telephone_number": "315-887-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DEBBIE LN",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266759",
"telephone_number": "315-887-0221"
}
],
"practiceLocations": [
{
"address_1": "110 W 6th St",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "131262507",
"country_code": "US",
"telephone_number": "315-349-5558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IGNACIO",
"first_name": "DANILO",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029095-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.