Individual provider Active NPI

Gladys May Chanchico Bunquin, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1699156463
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037095 Issued in NY
Practice address
13710 Franklin Ave Ste L2
Flushing, NY 11355-3842
Phone
(347) 732-4297
Fax
(347) 732-4299
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 037095 NY Primary

Addresses

Primary practice location

13710 Franklin Ave Ste L2
Flushing, NY 11355-3842

Mailing address

6395 Austin St
Apt 2H
Rego Park, NY 11374-3021
Phone (516) 603-9384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116001343 NY Practitioner - Physical Therapist in Private Practice 8022443233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Oct 18, 2023 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Oct 25, 2023 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

800 E Gate Blvd
Garden City, NY 11530

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1699156463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 AUSTIN ST",
            "address_2": "APT 2H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743021",
            "telephone_number": "516-603-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE STE L2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "347-732-4297",
            "fax_number": "347-732-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNQUIN",
        "first_name": "GLADYS MAY",
        "middle_name": "CHANCHICO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.