Individual provider Active NPI

Anna Padilla, D.P.T.

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1669752366
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034042 Issued in NY
Practice address
6453 Madison St Apt 1
Ridgewood, NY 11385-4629
Phone
(203) 824-2662
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034042 NY Primary

Addresses

Primary practice location

6453 Madison St Apt 1
Ridgewood, NY 11385-4629

Mailing address

6453 Madison St Apt 1
Ridgewood, NY 11385-4629
Phone (203) 824-2662

Other practice location 1

2320 29th avenue
aprt 3R
Astoria, NY 11102
Phone (203) 824-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D E Delopoulos Physical Therapist CurrentSince Jun 22, 2019 Accepting new patients

Locations

261 E 78th St
Fl 2
New York, NY 10075
Phone (212) 472-5820

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1669752366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6453 MADISON ST APT 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854629",
            "telephone_number": "203-824-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6453 MADISON ST APT 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854629",
            "telephone_number": "203-824-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 29th avenue",
            "address_2": "aprt 3R",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "11102",
            "country_code": "US",
            "telephone_number": "203-824-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.