Active NPI
Joel Pineda, PT
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1669952321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043484-1
- Practice address
- 128 Dean St
Valley Stream, NY 11580-4910 - Phone
- (347) 666-1407
- NPI assigned
- Aug 21, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 043484-1 | NY | Primary |
Addresses
Primary practice location
128 Dean St
Valley Stream, NY 11580-4910
Mailing address
128 Dean St
Valley Stream, NY 11580-4910
Phone (347) 666-1407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434841 | Other | NY | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043484-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1669952321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 DEAN ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804910",
"telephone_number": "347-666-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 DEAN ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804910",
"telephone_number": "347-666-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "JOEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043484-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "0434841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.