Active NPI
Nexus Physical Therapy P.C.
- Physical Therapist
- Rego Park, NY
National Provider Identifier
1861180606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Specialist
- Bronx, NY
- NPI 1447449004
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.