NPIMap

Organization Active NPI

Angel Alliance Physical Therapy & Acupuncture PLLC

  • Physical Therapist
  • Manhasset, NY
National Provider Identifier
1831856541
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANGEL ALLIANCE PHYSICAL THERAPY & ACUPUNCTURE PLLC
Practice address
34 Old Pine Dr
Manhasset, NY 11030-2010
Phone
(212) 235-1088
Fax
(212) 235-1018
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy HuangNPI 1538490941
Title
President
Phone
(718) 306-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

34 Old Pine Dr
Manhasset, NY 11030-2010

Mailing address

34 Old Pine Dr
Manhasset, NY 11030-2010
Phone (212) 235-1088

Other practice location 1

11621 Queens Blvd
Forest Hills, NY 11375-6533
Phone (718) 414-2777

Other practice location 2

30 E 60th St. Suite 1501
New York, NY 10022-1008
Phone (212) 235-1088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319000595 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911344502 Receives reassigned benefits from 6 practitioners
Practice locations: Forest Hills, NY; Great Neck, NY

National Provider Directory

National Provider Directory

Locations

38 S Station Plz
Great Neck, NY 11021
Phone (516) 201-2345

30 E 60th St
Rm 1501
New York, NY 10022
Phone (212) 235-1088

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1831856541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLD PINE DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302010",
            "telephone_number": "212-235-1088",
            "fax_number": "212-235-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLD PINE DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302010",
            "telephone_number": "212-235-1088",
            "fax_number": "212-235-1018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11621 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113756533",
            "country_code": "US",
            "telephone_number": "718-414-2777",
            "fax_number": "718-521-6707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E 60th St. Suite 1501",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221008",
            "country_code": "US",
            "telephone_number": "212-235-1088",
            "fax_number": "212-235-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL ALLIANCE PHYSICAL THERAPY & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-306-9888"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.