Elaine Tucay Panergo, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1300781 Issued in TX

Practice address

801 Road to Six Flags W
Arlington, TX 76012-2616

Phone

(817) 462-8111

NPI assigned

Apr 9, 2018

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1508363227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13774 GAZEBO LN APT 402",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760407558",
            "telephone_number": "408-449-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122616",
            "telephone_number": "817-462-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANERGO",
        "first_name": "ELAINE",
        "middle_name": "TUCAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1300781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Angelo Panaga, PMHNP-BC
• Niousha Panahi
• Saman Panahipour
• Miranda Panasiti
• Eric Francisco Pando, M.D.
• Bernard S Pang
• Marites Gomez Panopio
• Panorama Care Home LLC (Premier Panorama Care Services)
• Pantego Dentist, PLLC (A Smile Above)
• Paradigm Preparedness International, LLC

• Physical Medicine & Rehabilitation Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.