Organization Active NPI

Pumarada Physical Therapy Services, PC

  • Home Health Agency
  • North Babylon, NY
National Provider Identifier
1891095287
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
020030 Issued in NY
Legal business name
PUMARADA PHYSICAL THERAPY SERVICES, PC
Practice address
126 Hunter Ave
North Babylon, NY 11703-4602
Phone
(631) 669-0415
Fax
(631) 669-1455
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Reylito Poliquit Pumarada, PT, DPTNPI 1073654398
Title
Director
Phone
(631) 669-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 020030 NY Primary

Addresses

Primary practice location

126 Hunter Ave
North Babylon, NY 11703-4602

Mailing address

126 Hunter Avenue
North Babylon, NY 11703
Phone (631) 669-0415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1891095287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HUNTER AVENUE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-669-0415",
            "fax_number": "631-669-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HUNTER AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034602",
            "telephone_number": "631-669-0415",
            "fax_number": "631-669-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUMARADA PHYSICAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "PUMARADA",
        "authorized_official_first_name": "REYLITO",
        "authorized_official_middle_name": "POLIQUIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-669-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "020030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.