Individual provider Active NPI

Chris Evan Tagulinao Estrellado, PT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1831417997
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032404 Issued in NY
Practice address
7605 113TH St
Forest Hills, NY 11375-6568
Phone
(718) 575-9800
Fax
(718) 575-9707
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 032404 NY Primary

Addresses

Primary practice location

7605 113TH St
Forest Hills, NY 11375-6568

Mailing address

7605 113TH St
Forest Hills, NY 11375-6568
Phone (718) 575-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120901000019 NC Practitioner - Physical Therapist in Private Practice 0446407050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Orthopedics P aGroup PAC ID 2365536893, 2 clinicians

Practice addresses (Care Compare)

404 Hatfield CT
Lumberton, NC 28358-1126
Phone (910) 738-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032404NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Orthopedics P a CurrentSince May 10, 2012 Accepting new patients

Locations

404 Hatfield Ct
Lumberton, NC 28358
Phone (910) 738-3358

Interoperability endpoints

  • Direct secure messaging: chrisestrellado@ao.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0006195

Organizations & group practices 1

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1831417997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756568",
            "telephone_number": "718-575-9800",
            "fax_number": "718-575-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756568",
            "telephone_number": "718-575-9800",
            "fax_number": "718-575-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLADO",
        "first_name": "CHRIS EVAN",
        "middle_name": "TAGULINAO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.