Individual provider Active NPI

Eileen C Warmbier, MS,PT

  • Pediatric Physical Therapist
  • Staten Island, NY
National Provider Identifier
1740434539
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
018176-1 Issued in NY
Practice address
31 Ravenhurst Ave
Staten Island, NY 10310-2631
Phone
(917) 837-3647
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 018176-1 NY Primary

Addresses

Primary practice location

31 Ravenhurst Ave
Staten Island, NY 10310-2631

Mailing address

31 Ravenhurst Ave
Staten Island, NY 10310-2631
Phone (917) 837-3647

Other names 1

  • Eileen C Glover Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
018176-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1740434539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RAVENHURST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102631",
            "telephone_number": "917-837-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RAVENHURST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102631",
            "telephone_number": "917-837-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMBIER",
        "first_name": "EILEEN",
        "middle_name": "C",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "018176-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "GLOVER",
            "middle_name": "C",
            "credential": "MS,PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.