Active NPI
Dominador Doromal Apura Jr., LMT, PTA
- Massage Therapist
- Inwood, NY
National Provider Identifier
1801118013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023447-1
- Practice address
- 160 Wahl Ave
Inwood, NY 11096-1350 - Phone
- (516) 239-2934
- NPI assigned
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 003541-1 | NY | |
| Massage Therapist | 225700000X | 023447-1 | NY | Primary |
Addresses
Primary practice location
160 Wahl Ave
Inwood, NY 11096-1350
Mailing address
160 Wahl Ave
Inwood, NY 11096-1350
Phone (516) 239-2934
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003541-1 | NY | MD | Physical Therapy Assistant |
| 023447-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1801118013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WAHL AVE",
"city": "INWOOD",
"state": "NY",
"postal_code": "110961350",
"telephone_number": "516-239-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WAHL AVE",
"city": "INWOOD",
"state": "NY",
"postal_code": "110961350",
"telephone_number": "516-239-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APURA",
"first_name": "DOMINADOR",
"middle_name": "DOROMAL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT, PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "003541-1",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "023447-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.