St Michael PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032350 Issued in NY

Legal business name

ST MICHAEL PT PC

Practice address

3409 Murray St FL 2
Flushing, NY 11354-3948

Phone

(718) 888-1704

NPI assigned

Dec 26, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie Bargayo, RPT

Title

Owner/President

Phone

(347) 586-2271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHYSICAL THERAPY SERVICES Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nena Reloj Neron

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1558726984
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1629584818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 GRAND AVE APT 2K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 MURRAY ST FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543948",
            "telephone_number": "718-888-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAEL PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BARGAYO",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-586-2271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, HMO, MAJOR MEDS",
            "identifier": "1077179924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ashleigh Stahl
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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.