Jeril Marie Millan Pamaong, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028749 Issued in NY

Practice address

3290 N Ridge Rd
Suite 290 Executive Center II Cambridge Healthcare
Ellicott City, MD 21043-3655

Phone

(410) 750-9006

NPI assigned

Oct 26, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1669651600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 PARSONS BLVD",
            "address_2": "DR WILLIAM BENENSON PAVILION",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545931",
            "telephone_number": "347-653-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD",
            "address_2": "SUITE 290 EXECUTIVE CENTER II CAMBRIDGE HEALTHCARE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433655",
            "telephone_number": "410-750-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMAONG",
        "first_name": "JERIL MARIE",
        "middle_name": "MILLAN",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.