Enriquito Z. Ebuna, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020516 Issued in NY

Practice address

3637 Libby LN
Wantagh, NY 11793-1416

Phone

(516) 390-0078

Fax

(516) 390-0078

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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

• Restorative Physical Therapy

  • Physical Therapy Clinic/Center
  • Wantagh, NY
  • NPI 1215208350
  NPD Authorized official
• Restorative Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Freeport, NY
  • NPI 1518226893
  NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639224942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 LIBBY LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931416",
            "telephone_number": "516-390-0078",
            "fax_number": "516-390-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 LIBBY LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931416",
            "telephone_number": "516-390-0078",
            "fax_number": "516-390-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBUNA",
        "first_name": "ENRIQUITO",
        "middle_name": "Z.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Duffy, OTR/L
• Constance Dunlop, PT
• Diana Duvivier, NP-BC, DNP
• Earth Mountain Acupuncture,P.C.
• East Meadow Family Practice Assoc PC
• Gwenn Eiger, PT
• Lisa Ellers
• Elsa J Clark MD
• Empire Hearing, PLLC
• Engaging Young Minds Inc.

• Physical Therapist in Wantagh, NY
• Providers in Wantagh, 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 Jul 8, 2007; 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.