Active NPI
Ma Tawny Alegria Mojica
- Physical Therapy Assistant
- New York, NY
National Provider Identifier
1881433837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012885
- Practice address
- 4405 Broadway
New York, NY 10040-4014 - Phone
- (646) 779-8265
- NPI assigned
- May 20, 2024
- 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 Therapy Assistant | 225200000X | 012885 | NY | Primary |
Addresses
Primary practice location
4405 Broadway
New York, NY 10040-4014
Mailing address
8330 Vietor Ave Apt 722
Elmhurst, NY 11373-3269
Phone (929) 366-9818
Other practice location 1
958 Nostrand Ave
Brooklyn, NY 11225-2901
Phone (718) 701-7300
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 |
|---|---|---|---|
| 012885 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1881433837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8330 VIETOR AVE APT 722",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733269",
"telephone_number": "929-366-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404014",
"telephone_number": "646-779-8265"
}
],
"practiceLocations": [
{
"address_1": "958 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112252901",
"country_code": "US",
"telephone_number": "718-701-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOJICA",
"first_name": "MA TAWNY ALEGRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "012885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.