Ma Noemi Pagkanlungan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0008895 Issued in FL

Practice address

3940 Radio Rd
Suite 109
Naples, FL 34104-3740

Phone

(239) 643-7879

NPI assigned

Sep 6, 2007

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

Other identifiers 1

Other names 1

• Noemi Pagkanlungan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1568657237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 DAVIS BLVD",
            "address_2": "APT 157",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045331",
            "telephone_number": "239-643-7879",
            "fax_number": "239-643-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 RADIO RD",
            "address_2": "SUITE 109",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043740",
            "telephone_number": "239-643-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGKANLUNGAN",
        "first_name": "MA NOEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0008895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y036Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "PAGKANLUNGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.