Individual provider Active NPI

Jonathan Zumarraga

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1619849197
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4618 Broadway
Astoria, NY 11103-1628
Phone
(718) 274-4200
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4618 Broadway
Astoria, NY 11103-1628

Mailing address

4618 Broadway
Astoria, NY 11103-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119004673 NY Practitioner - Physical Therapist in Private Practice 4688166424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, shared by 6 NPIs, 385 clinicians
Fresh Pond Physical Therapy PCGroup PAC ID 4486605342, 12 clinicians

Practice addresses (Care Compare)

2846 Steinway St
Astoria, NY 11103-3332
Phone (347) 424-4503

9216 Roosevelt Ave
Jackson Heights, NY 11372-7942
Phone (929) 299-6505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Pond Physical Therapy Jackson Heights, PC. Physical Therapist CurrentSince Nov 7, 2025 Accepting new patients
Fresh Pond Physical Therapy Astoria, P.C. Physical Therapist CurrentSince Sep 28, 2025 Accepting new patients
Fresh Pond Physical Therapy, P.C Physical Therapist CurrentSince Nov 7, 2025 Accepting new patients
Fresh Pond Physical Therapy Greenpoint, P.C Physical Therapist PastSince Aug 12, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

4618 Broadway
Astoria, NY 11103
Phone (718) 274-4200

9216 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 426-2100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1619849197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031628",
            "telephone_number": "718-274-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMARRAGA",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.