Active NPI
Ria Luna Tesoro Campantero, PT, DPT
- Physical Therapist
- Manhattan, NY
National Provider Identifier
1861167496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042308-01
- Practice address
- 501 5TH Ave
Suite 809
Manhattan, NY 10017 - Phone
- (212) 499-9110
- NPI assigned
- Aug 16, 2021
- Last updated
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042308-01 | NY | Primary |
Addresses
Primary practice location
501 5TH Ave
Suite 809
Manhattan, NY 10017
Mailing address
90-26 54TH Ave
Elmhurst, NY 11373
Phone (917) 863-0362
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 |
|---|---|---|---|
| 042308-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1861167496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90-26 54TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "917-863-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 5TH AVE",
"address_2": "SUITE 809",
"city": "MANHATTAN",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-499-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANTERO",
"first_name": "RIA LUNA",
"middle_name": "TESORO",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042308-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.