Active NPI
Ma. Casandra Padios Raquel
- Physical Medicine & Rehabilitation Physician
- Eynon, PA
National Provider Identifier
1619509593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT027696
- Practice address
- 829 Scranton Carbondale Hwy
Eynon, PA 18403-1020 - Phone
- (570) 383-7502
- NPI assigned
- Feb 7, 2020
- Last updated
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT027696 | PA | Primary |
Addresses
Primary practice location
829 Scranton Carbondale Hwy
Eynon, PA 18403-1020
Mailing address
108 Rolling Meadows Rd
Saylorsburg, PA 18353-9387
Phone (954) 258-8734
Other practice location 1
108 Rolling Meadows Rd
Saylorsburg, PA 18353-9387
Phone (954) 258-8734
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT027696 | PA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1619509593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ROLLING MEADOWS RD",
"city": "SAYLORSBURG",
"state": "PA",
"postal_code": "183539387",
"telephone_number": "954-258-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 SCRANTON CARBONDALE HWY",
"city": "EYNON",
"state": "PA",
"postal_code": "184031020",
"telephone_number": "570-383-7502"
}
],
"practiceLocations": [
{
"address_1": "108 Rolling Meadows Rd",
"address_purpose": "LOCATION",
"city": "Saylorsburg",
"state": "PA",
"postal_code": "183539387",
"country_code": "US",
"telephone_number": "954-258-8734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAQUEL",
"first_name": "MA. CASANDRA",
"middle_name": "PADIOS",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "PT027696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.