Active NPI
Kelvin Albarado Quiambao, PHYSICAL THERAPIST
- Contractor
- Poughkeepsie, NY
National Provider Identifier
1861449993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 027208-1
- Practice address
- 6 Hawkins St
Poughkeepsie, NY 12601-1243 - Phone
- (845) 452-7808
- Fax
- (845) 452-7808
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 027208-1 | NY | Primary |
Addresses
Primary practice location
6 Hawkins St
Poughkeepsie, NY 12601-1243
Mailing address
6 Hawkins St
Poughkeepsie, NY 12601-1243
Phone (845) 452-7808
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027208-1 | NY | MD | Contractor |
| 027208 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861449993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HAWKINS ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011243",
"telephone_number": "845-452-7808",
"fax_number": "845-452-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HAWKINS ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011243",
"telephone_number": "845-452-7808",
"fax_number": "845-452-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIAMBAO",
"first_name": "KELVIN",
"middle_name": "ALBARADO",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "027208-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.