John Paul Rincon, MS PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

0223601 Issued in NY

Practice address

1229 Wantagh Avenue
Suite 104
Wantagh, NY 11793

Phone

(516) 785-5257

Fax

(516) 785-5154

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548327117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 CHAPIN AVENUE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "11566",
            "telephone_number": "516-208-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 WANTAGH AVENUE",
            "address_2": "SUITE 104",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "516-785-5257",
            "fax_number": "516-785-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINCON",
        "first_name": "JOHN PAUL",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "0223601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO EPO",
            "identifier": "Q09X41",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A745513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restorative Physical Therapy
• Mary Elizabeth Reynolds, M.S. CCC-SLP
• Gabriella-Marie Pat Ribaudo, LMHC
• Denise Rice
• Norman Edward Rich, D.D.S.
• Lisa Marie Ripi-Hanemann, DIPL.AC, LAC, LMT
• Alyssa Risdon, MHC-LP
• Richard T Risko, DO
• Carmen Ivette Rivera, LCSW
• Robert H Clark MD PLLC

• Pediatric Physical Therapist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Pediatric 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.