Individual provider Active NPI

Myna Katrina Abante Calangi, PT, DPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1831830140
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047193 Issued in NY
Practice address
941 Burke Ave
Bronx, NY 10469-3814
Phone
(347) 326-6785
Fax
(347) 945-0078
NPI assigned
Apr 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 047193 NY Primary

Addresses

Primary practice location

941 Burke Ave
Bronx, NY 10469-3814

Mailing address

941 Burke Ave
Bronx, NY 10469-3814
Phone (347) 326-6785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620002630 NY Practitioner - Physical Therapist in Private Practice 4587022751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hudson Valley Physical Therapy LLCGroup PAC ID 1850560806, 4 clinicians

Practice addresses (Care Compare)

280 N Central Ave
Hartsdale, NY 10530-1832
Phone (914) 831-9575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047193NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Physical Therapy LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

280 N Central Ave
Ste 211
Hartsdale, NY 10530
Phone (914) 289-1700

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1831830140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 BURKE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693814",
            "telephone_number": "347-326-6785",
            "fax_number": "347-945-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 BURKE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693814",
            "telephone_number": "347-326-6785",
            "fax_number": "347-945-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANGI",
        "first_name": "MYNA KATRINA",
        "middle_name": "ABANTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.