Catherine Tabaco Escobillo-Garces, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028863 Issued in NY

Practice address

3602 14TH St
Long Island City, NY 11106-4704

Phone

(718) 392-2510

Fax

(718) 392-2637

NPI assigned

Dec 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1790969939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 51ST AVE APT 5A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735549",
            "telephone_number": "347-320-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 14TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064704",
            "telephone_number": "718-392-2510",
            "fax_number": "718-392-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBILLO-GARCES",
        "first_name": "CATHERINE",
        "middle_name": "TABACO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Long Island City, NY
• Providers in Long Island City, 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 18, 2012; 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.