Individual provider Active NPI

Floraine Emata-Pagcu, PT

  • Physical Therapist
  • Eatontown, NJ
National Provider Identifier
1881884302
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01079100 Issued in NJ
Practice address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Phone
(732) 493-3100
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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 40QA01079100 NJ Primary

Addresses

Primary practice location

1 Main St Ste 505
Eatontown, NJ 07724-3903

Mailing address

150 William St
Clifton, NJ 07014-1720
Phone (973) 782-3954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416003913 NJ Practitioner - Physical Therapist in Private Practice 9436589363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01079100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Mar 25, 2020 Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1 Main St
Ste 505
Tinton Falls, NJ 07724

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

1940 Commerce St
Ste 205
Yorktown Heights, NY 10598

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1881884302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILLIAM ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141720",
            "telephone_number": "973-782-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 505",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243903",
            "telephone_number": "732-493-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMATA-PAGCU",
        "first_name": "FLORAINE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01079100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.