Individual provider Active NPI

Niko Vinson Cadungog Lima, PT

  • Physical Therapist
  • Oneonta, NY
National Provider Identifier
1780342238
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039224 Issued in NY
Practice address
5392 State Highway 7
Oneonta, NY 13820-3419
Phone
(607) 386-5889
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 039224 NY Primary

Addresses

Primary practice location

5392 State Highway 7
Oneonta, NY 13820-3419

Mailing address

33 Fairview St
Oneonta, NY 13820-2415
Phone (160) 738-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515001819 NY Practitioner - Physical Therapist in Private Practice 2264898410 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Practice addresses (Care Compare)

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services PT and OT Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince May 15, 2023 Accepting new patients
Therapy Services PT and OT Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Romtherapy Connecticut Medical PC CurrentSince Dec 20, 2025 Accepting new patients
Romtherapy Inc Physical Therapist Past Accepting new patients
Romtherapy New Jersey Medical PA PastSince Jun 7, 2026 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

945 N Central Ave
Woodmere, NY 11598
Phone (267) 223-4867

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1780342238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FAIRVIEW ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202415",
            "telephone_number": "160-738-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5392 STATE HIGHWAY 7",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203419",
            "telephone_number": "607-386-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "NIKO VINSON",
        "middle_name": "CADUNGOG",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.