Individual provider Active NPI

Marie Carmel Dustamante Ordeniza, RPT

  • Cardiopulmonary Physical Therapist
  • Bronx, NY
National Provider Identifier
1689888125
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X
License
026931 Issued in NY
Practice address
3166 Bainbridge Ave
Suite 1B
Bronx, NY 10467-3922
Phone
(718) 548-1212
Fax
(718) 548-1900
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X 026931 NY Primary

Addresses

Primary practice location

3166 Bainbridge Ave
Suite 1B
Bronx, NY 10467-3922

Mailing address

3871 Sedgwick Ave Apt 1B
Suite 1B
Bronx, NY 10463-4433
Phone (718) 548-1212

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
Theradynamics Physical Rehabilitation Past Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Past Accepting new patients
Theradynamics Physical Rehab Past Accepting new patients

Organizations & group practices 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1689888125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE APT 1B",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634433",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 BAINBRIDGE AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673922",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTAMANTE ORDENIZA",
        "first_name": "MARIE CARMEL",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NY",
            "license": "026931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.