Marie Albertine Butron Tago

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045566 Issued in NY

Practice address

4626 White Plains Rd
Bronx, NY 10470-1610

Phone

(718) 509-9888

Fax

(718) 509-6144

NPI assigned

Oct 3, 2024

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Core PT Pta and Rehabilitation PLLCGroup PAC ID 4880985175, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Red Core PT Pta and Rehabilitation PLLC

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1043698228
  Medicare reassignment Care Compare group NPD
• Red Core Ptpta and Rehabilitation PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1558987479
  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1568280998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780173",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780173",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "718-509-9888",
            "fax_number": "718-509-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGO",
        "first_name": "MARIE ALBERTINE",
        "middle_name": "BUTRON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nino Obedo Taga-Oc, PT
• Eda Dorothy Tadeo Tagarda, RPT
• Ngozi Tagbo, LPN
• Susybelle Taggueg
• Robert Taglia, MD
• Agnes Tagoe
• Clement E Tagoe, MD
• Jillian Taguchi, MD
• Alvan Taguinod
• Mahmoud Ahmed Mohamed Hassan Taha, M.D.

• 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 Oct 3, 2024; 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.