Individual provider Active NPI

Rodney Ramirez, PT

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1801970041
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022652-1 Issued in NY
Practice address
8515 65TH Rd
Rego Park, NY 11374-5035
Phone
(347) 393-0262
Fax
(718) 606-9516
NPI assigned
Oct 24, 2006
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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 022652-1 NY Primary

Addresses

Primary practice location

8515 65TH Rd
Rego Park, NY 11374-5035

Mailing address

8515 65TH Rd
Rego Park, NY 11374-5035
Phone (347) 393-0262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000108 NY Practitioner - Physical Therapist in Private Practice 0345223871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Triboro Physical Therapy, PLLCGroup PAC ID 0840393112, 2 clinicians

Practice addresses (Care Compare)

2923 24TH Ave
Astoria, NY 11102-1129
Phone (718) 606-9513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022652NYMDOccupational Therapist
022652-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triboro Physical Therapy, PLLC Physical Therapist CurrentSince Feb 5, 2007 Accepting new patients
Medical Care of Queens Borough PC Current Accepting new patients
Retro Physical Therapy LLC Current Accepting new patients
Medical Office of Anand R Persaud MD PC Physical Therapist Past Accepting new patients
Fun Fitness Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

2923 24th Ave
Astoria, NY 11102
Phone (718) 606-9513

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1801970041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745035",
            "telephone_number": "347-393-0262",
            "fax_number": "718-606-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745035",
            "telephone_number": "347-393-0262",
            "fax_number": "718-606-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "RODNEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022652-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.