Cygnificare PT, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

038097 Issued in NY

Legal business name

CYGNIFICARE PT, P.C.

Practice address

7014A 136TH St
Kew Gardens Hills, NY 11367-1947

Phone

(646) 416-4513

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Deo Mauleon Dela Paz, PT

Title

President

Phone

(646) 416-4513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1770015216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 136TH ST UNIT A",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113671947",
            "telephone_number": "646-416-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014A 136TH ST",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113671947",
            "telephone_number": "646-416-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYGNIFICARE PT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "DELA PAZ",
        "authorized_official_first_name": "DEO",
        "authorized_official_middle_name": "MAULEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-416-4513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "038097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Cawley, MS, NCSP, BCBA
• Lisa Ann Centrone, M.S.ED.
• Doris Wenqin Chen, ACUPUNCTURIST
• Alina Chepets
• Gillian Tracy-Ann Christian, DPT
• Barbara Anne Ditman
• Susan Drucker, MD
• Dynamic Rehab P T PC
• Renee Cupidon Edouard
• Debra Ellis

• Physical Therapy Clinic/Center in Kew Gardens Hills, NY
• Providers in Kew Gardens Hills, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.