Individual provider Active NPI

Ma. Angelica Mae Bagtas Binayug, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1861203291
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053270 Issued in NY
Practice address
670 6TH Ave
Brooklyn, NY 11215-6800
Phone
(347) 252-6141
Fax
(718) 673-9127
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 053270 NY Primary

Addresses

Primary practice location

670 6TH Ave
Brooklyn, NY 11215-6800

Mailing address

670 6TH Ave
Brooklyn, NY 11215-6800
Phone (347) 252-6141

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
053270NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1861203291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156800",
            "telephone_number": "347-252-6141",
            "fax_number": "718-673-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156800",
            "telephone_number": "347-252-6141",
            "fax_number": "718-673-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINAYUG",
        "first_name": "MA. ANGELICA MAE",
        "middle_name": "BAGTAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.