Windy Tagalog Tubalado

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033687 Issued in NY

Practice address

475 Northern Blvd
Suite 11
Great Neck, NY 11021-4819

Phone

(516) 829-0030

Fax

(516) 466-7723

NPI assigned

Apr 18, 2014

Sex

Female

Sole proprietor

No

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Spinecare and Rehabilitation Medicine PCGroup PAC ID 5496049454, 3 clinicians

Back to Action Physical Therapy LLCGroup PAC ID 5496139636, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Back to Action Physical Therapy LLC

  dba Redcore Physical Therapy And Wellness

  • Rehabilitation Practitioner
  • Elizabeth, NJ
  • NPI 1154063154
  Medicare reassignment Care Compare group
• Synergy Spinecare & Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1093188708
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1639599525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "SUITE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214819",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "SUITE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214819",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBALADO",
        "first_name": "WINDY",
        "middle_name": "TAGALOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tingyun Tseng
• Demetrios Tsiokos, DDS
• Kalliope Tsirilakis, M.D.
• Christina Tso, MS, APRN, FNP
• Huili Tso
• Adrian Tubero, PSY.D.
• Anthony Tucci, MD
• David V Tuckman, MD
• George Tung, MD
• Erika G Turner, DDS

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Apr 18, 2014; 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.