Active NPI
Bryan Dagaraga, PT
- Physical Therapist
- Yonkers, NY
National Provider Identifier
1649301318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028391
- Practice address
- 340 S Broadway
Yonkers, NY 10705-2049 - Phone
- (914) 968-5125
- Fax
- (914) 968-5123
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028391 | NY | Primary |
Addresses
Primary practice location
340 S Broadway
Yonkers, NY 10705-2049
Mailing address
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 Route 304
Suite 102
Bardonia, NY 10954-1601
Phone (845) 624-2182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine and Rehabilitation Center PA | Physical Therapist | Current | Accepting new patients |
Locations
500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760
365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182
Organizations & group practices 1
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.
-
- Rehabilitation Practitioner
- Englewood, NJ
- NPI 1831110469
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1649301318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-8077",
"fax_number": "914-328-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052049",
"telephone_number": "914-968-5125",
"fax_number": "914-968-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGARAGA",
"first_name": "BRYAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.