Charmaine Anne Erce Villanueva

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049502 Issued in NY

Practice address

277 Van Cortlandt Ave E Apt 4F
Bronx, NY 10467-3021

Phone

(312) 774-2369

NPI assigned

Jun 23, 2022

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1518698091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 W SCHUBERT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391727",
            "telephone_number": "312-774-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VAN CORTLANDT AVE E APT 4F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673021",
            "telephone_number": "312-774-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CHARMAINE ANNE",
        "middle_name": "ERCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049502",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga L. Villamil
• Sebastian Villamil, MD
• Christopher Villani
• Esperanza Villanueva-Siles, MD
• Arvi Marie Selerio Villanueva
• Edgardo Jose Tuazon Villanueva II, OTR/L
• Hugo J Villanueva, MD
• Ivelisse Villanueva
• Jose Villanueva, LPN
• Kimberly Ashlie Villanueva

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.