Active NPI
Darapa Donna Sukboonlue, MSPT
- Pediatric Physical Therapist
- Jackson Heights, NY
National Provider Identifier
1811204282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 025805-1
- Practice address
- 7610 34TH Ave
Apt 5R
Jackson Heights, NY 11372-2270 - Phone
- (718) 507-0554
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 025805-1 | NY | Primary |
Addresses
Primary practice location
7610 34TH Ave
Apt 5R
Jackson Heights, NY 11372-2270
Mailing address
7610 34TH Ave
Apt 5R
Jackson Heights, NY 11372-2270
Phone (718) 507-0554
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 |
|---|---|---|---|
| 025805-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1811204282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 34TH AVE",
"address_2": "APT 5R",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113722270",
"telephone_number": "718-507-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 34TH AVE",
"address_2": "APT 5R",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113722270",
"telephone_number": "718-507-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKBOONLUE",
"first_name": "DARAPA",
"middle_name": "DONNA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "025805-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.