Lemuel Obach Tagaan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036945 Issued in NY

Practice address

4161 Kissena Blvd
Concourse Level Suite 35
Flushing, NY 11355-3181

Phone

(917) 285-2248

NPI assigned

Aug 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oasis Nurse Practitioner in Adult Health PC

  • Health Service Clinic/Center
  • Elmhurst, NY
  • NPI 1225579170
  NPD (past)

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1679907216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 50TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773146",
            "telephone_number": "347-840-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "CONCOURSE LEVEL SUITE 35",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553181",
            "telephone_number": "917-285-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGAAN",
        "first_name": "LEMUEL",
        "middle_name": "OBACH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-31",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008764",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulo Tadeo
• Alvin Louis Tadique
• Daniel K Tadros
• Taegyun Kim MD PC
• Taejin Physical Therapy P.C.
• Mary Joyce Tagatac
• Shaina Taguran
• Amr Ahmed Mahmoud Rashid Taha, M.D.
• Wesam Hassan Taha
• Abeer Tahir

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.