Organization Active NPI

Nexus Physical Therapy P.C.

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1861180606
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEXUS PHYSICAL THERAPY P.C.
Practice address
9618 63Rd Dr FL 3
Rego Park, NY 11374-2297
Phone
(718) 275-0050
Fax
(718) 280-9386
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mrs. Miriam Santiago Opena-Mangubat, PT
Title
President
Phone
(212) 444-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9618 63Rd Dr FL 3
Rego Park, NY 11374-2297

Mailing address

6 Litchult CT
Airmont, NY 10901-7511
Phone (212) 444-2350

National Provider Directory

National Provider Directory

Locations

9618 63rd Dr
Fl 3
Rego Park, NY 11374
Phone (718) 275-0050

Practitioners & affiliated clinicians

Practitioners 1

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": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1861180606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LITCHULT CT",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109017511",
            "telephone_number": "212-444-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 63RD DR FL 3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742297",
            "telephone_number": "718-275-0050",
            "fax_number": "718-280-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "OPENA-MANGUBAT",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-444-2350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.