Emmi Aguillard
Individual provider Active NPI Physical Therapist · New York, NY
NPI 1699283754 · NPPES record last updated Jan 10, 2018
Key facts
- NPI
- 1699283754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040254 (NY)
- Practice address
- 119 W 23Rd St Ste 304
New York, NY 10011-6370 - Phone
- (225) 892-2227
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220325000397 | NY | Practitioner - Physical Therapist in Private Practice | 2365837531 | Practice locations: New York, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmi Aguillard Physical Therapy | Physical Therapist | Past |
Accepting new patients |
| Finish Line Physical Therapy, PC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040254 | NY | Yes |
Addresses
Primary practice location
119 W 23Rd St Ste 304
New York, NY 10011-6370
Mailing address
119 W 23Rd St Ste 304
New York, NY 10011-6370
Phone (225) 892-2227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040254 | Other | NY | PHYSICAL THERAPY LICENSE NUMBER |
Other providers in New York, NY
- Stephanie Marie Aguilar
- Nicolas Augusto Aguilera Ayala
- Angela Victoria Aguilera
- Cesar Aguilera
- Jashiell Aguilera
- Elizabeth Aguiluz
- Jeahany Aguirre Vazquez
- Alejandro Pantoja Aguirre
- Amal Aguirre
- Aristotle Lim Aguirre
All providers in New York, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.