Ronald Edward Ponchak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9136 Issued in NY

Practice address

258 W 91St St
New York, NY 10024-1108

Phone

(212) 875-8345

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Luna Care Physical Therapy LLCGroup PAC ID 8628468998, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Massachusetts Luna Care Physical Therapy LLC

  • Physical Therapist
  • Boston, MA
  • NPI 1427713742
  Medicare reassignment Care Compare group NPD
• Ronald E. Ponchak, PT, PC

  • Physical Therapy Clinic/Center
  • Wilton, CT
  • NPI 1891965257
  NPD Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750363545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LLEWELLYN DR",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404433",
            "telephone_number": "203-972-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W 91ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241108",
            "telephone_number": "212-875-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCHAK",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "9136",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "5065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Devi Ponamgi, M.D.
• Doris M Ponce, MD
• Patrick Virgil Ponce, OTRL
• Sarah Michelle Ponce
• Shayna Ponce
• Elizabeth C Ponchione, CRNP
• Arnold G. Ponciano, PTA
• Constance Sue Pond, MS IN OT, IBCLC
• Erin Pond, LMSW
• Manish Prakash Ponda, M.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.