Organization Active NPI

Sanvin Physical Therapy PC

  • Specialist
  • New York, NY
National Provider Identifier
1679649883
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021012 Issued in NY
Legal business name
SANVIN PHYSICAL THERAPY PC
Practice address
371 2ND Ave
New York, NY 10010-6447
Phone
(212) 420-7280
Fax
(212) 420-7422
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Joann Santos Vinluan, BSPTNPI 1033243084
Title
President
Phone
(212) 420-7280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 021012 NY Primary

Addresses

Primary practice location

371 2ND Ave
New York, NY 10010-6447

Mailing address

371 2ND Ave
New York, NY 10010-6447
Phone (212) 420-7280

Other identifiers 11

IdentifierTypeStateIssuer
02204222MedicaidNY
204250700OtherNYACS
2051335OtherNYUNITED HEALTH CARE
6603754OtherNYGHI
QA7141OtherNYMEDICARE-INDIVIDUAL
QYW191OtherNYMEDICARE-GROUP
1461986OtherNYMAGNACARE PPO MAX
04761GOtherNYGHI MEDICARE
1000036361OtherNYAFFINITY
132123POtherNYHIP
2460766OtherNYOXFORD

Other names 1

  • THERAPHYSICAL CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001425 NY Part B Supplier - Clinic/Group Practice 3274423355 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Sanvin Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3749 91st St
Jackson Hts, NY 11372
Phone (718) 397-8500

371 2nd Ave
New York, NY 10010
Phone (212) 420-7280

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1679649883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106447",
            "telephone_number": "212-420-7280",
            "fax_number": "212-420-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106447",
            "telephone_number": "212-420-7280",
            "fax_number": "212-420-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANVIN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "VINLUAN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-420-7280",
        "authorized_official_credential": "BSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "021012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204222",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "204250700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2051335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6603754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-INDIVIDUAL",
            "identifier": "QA7141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-GROUP",
            "identifier": "QYW191",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PPO MAX",
            "identifier": "1461986",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "04761G",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000036361",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "132123P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "2460766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERAPHYSICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.