Individual provider Active NPI

Phoebe Marigel Garganera Causin

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1538863196
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04101601 Issued in NY
Practice address
2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone
(718) 891-4400
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 04101601 NY Primary

Addresses

Primary practice location

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762

Mailing address

3706 65TH St
Woodside, NY 11377-2859
Phone (951) 710-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04101601NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1538863196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 65TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772859",
            "telephone_number": "951-710-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSIN",
        "first_name": "PHOEBE MARIGEL",
        "middle_name": "GARGANERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04101601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.