Individual provider Active NPI

Paolo Juden Villanueva Sarmiento, DPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1881578177
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041500 Issued in NY
Practice address
3518 Bainbridge Ave
Bronx, NY 10467-1402
Phone
(718) 655-1991
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 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 041500 NY Primary

Addresses

Primary practice location

3518 Bainbridge Ave
Bronx, NY 10467-1402

Mailing address

3518 Bainbridge Ave
Bronx, NY 10467-1402
Phone (929) 420-0738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911002923 NY Practitioner - Physical Therapist in Private Practice 2062915432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ergo Physical Therapy PCGroup PAC ID 9931123650, 5 clinicians

Practice addresses (Care Compare)

10740 Queens Blvd
Suite 207
Forest Hills, NY 11375-4252
Phone (718) 261-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Rehab of Ny P.C. Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Ergo Physical Therapy, PC Physical Therapist CurrentSince Feb 16, 2026 Accepting new patients

Locations

10740 Queens Blvd
Ste 207
Forest Hills, NY 11375
Phone (718) 261-3100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1881578177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671402",
            "telephone_number": "929-420-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671402",
            "telephone_number": "718-655-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "PAOLO JUDEN",
        "middle_name": "VILLANUEVA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.