Individual provider Active NPI

Natasha Ridore

  • Physical Therapy Assistant
  • Whitestone, NY
National Provider Identifier
1619565587
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
007732 Issued in NY
Practice address
1322 147TH St Apt C3
Whitestone, NY 11357-2402
Phone
(917) 657-6232
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 007732 NY Primary

Addresses

Primary practice location

1322 147TH St Apt C3
Whitestone, NY 11357-2402

Mailing address

1322 147TH St Apt C3
Whitestone, NY 11357-2402
Phone (917) 657-6232

Other practice location 1

59 38th St
Islip, NY 11751-1101
Phone (516) 274-8972

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Nmholikova@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007732NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1619565587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 147TH ST APT C3",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572402",
            "telephone_number": "917-657-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 147TH ST APT C3",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572402",
            "telephone_number": "917-657-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 38th St",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117511101",
            "country_code": "US",
            "telephone_number": "516-274-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDORE",
        "first_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nmholikova@gmail.com",
            "affiliation": "N",
            "address_1": "1322 147th St Apt C3",
            "city": "Whitestone",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113572402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.