Individual provider Active NPI

Arlene Lagcao Yancha, P.T.

  • Physical Therapist
  • Nyack, NY
National Provider Identifier
1730334418
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018498-1 Issued in NY
Practice address
422 Centre Ave
Nyack, NY 10960-1314
Phone
(845) 480-4945
NPI assigned
Nov 23, 2008
Last updated
Nov 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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 018498-1 NY Primary

Addresses

Primary practice location

422 Centre Ave
Nyack, NY 10960-1314

Mailing address

422 Centre Ave
Nyack, NY 10960-1314
Phone (845) 480-4945

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

State licenses

LicenseStateTypeSpecialty
018498-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1730334418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CENTRE AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601314",
            "telephone_number": "845-480-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CENTRE AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601314",
            "telephone_number": "845-480-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHA",
        "first_name": "ARLENE",
        "middle_name": "LAGCAO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018498-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.