Individual provider Active NPI

Diether Paul Ofaril Quintana, DPT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1518550342
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042926 Issued in NY
Practice address
13668 Roosevelt Ave Ste 5C
Flushing, NY 11354-5510
Phone
(956) 539-9631
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042926 NY Primary

Addresses

Primary practice location

13668 Roosevelt Ave Ste 5C
Flushing, NY 11354-5510

Mailing address

3275 44TH St Apt 1R
Astoria, NY 11103-2312
Phone (956) 539-9631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129001864 NY Practitioner - Physical Therapist in Private Practice 3870961659 Reassigns benefits to 4 organizations
Practice locations: Elmhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042926NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quinta Physical Therapy PC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Feb 22, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Mar 1, 2024 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Mar 1, 2024 Accepting new patients
Z &V Management Corp PastSince Mar 1, 2023 Accepting new patients

Locations

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

7402 Grand Ave
#3A
Elmhurst, NY 11373
Phone (917) 396-1017

7402 Grand Ave
#3B
Elmhurst, NY 11373
Phone (917) 396-1017

13668 Roosevelt Ave
Ste 5C
Flushing, NY 11354
Phone (956) 539-9631

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1518550342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 44TH ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032312",
            "telephone_number": "956-539-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 5C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "956-539-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "DIETHER PAUL",
        "middle_name": "OFARIL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.