Maria Lucia Jimenez-Ulloa, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024486-1 Issued in NY

Practice address

20809 Union Tpke
Oakland Gardens, NY 11364-3235

Phone

(718) 479-6370

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By 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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maria Lucia Jimenez, Ma,PT,PC

  dba Elmhurst Balance & Physical Therapy

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1093019440
  Medicare reassignment NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528100989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 85TH ST",
            "address_2": "APT 4H",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725568",
            "telephone_number": "718-457-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20809 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643235",
            "telephone_number": "718-479-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-ULLOA",
        "first_name": "MARIA",
        "middle_name": "LUCIA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduard Israilov, PHARMD
• Lisa Jackson
• Pawel Filip Jakubiec, PT
• Dianne James
• Venus Jassal, MSED
• JLH Acupuncture PC
• Daniel M Jung, RPH
• Shirley Jung, MS, OTR/L
• Sara Carolyn Kahan
• Eva Kalantarova, MS CCC-SLP

• Physical Therapist in Oakland Gardens, NY
• Providers in Oakland Gardens, 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 Jul 8, 2007; 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.