Divine Padilla PT PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

027946 Issued in NY

Legal business name

DIVINE PADILLA PT PC

Practice address

1501 Imperial Ave
New Hyde Park, NY 11040-3945

Phone

(718) 310-0892

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Divine Grace Padilla, PT

Title

President

Phone

(718) 310-0892

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divine Grace Meer Padilla, PT

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1306893185
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1578837654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 IMPERIAL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 IMPERIAL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403945",
            "telephone_number": "718-310-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PADILLA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "DIVINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-310-0892",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "027946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Dipuma
• Ann E Dirico, PA
• Lucia Dispigno, NP
• Kara Ditta
• Klaus Dittmar, M.D.
• Emma Dixon, MD
• Brian DO
• Michelle DO, PHARMD
• Dean Irwin Dobbin, M.D.
• Marie Dobrayel

• Early Intervention Provider Agency in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.