Active NPI
Pumarada Physical Therapy Services, PC
- Home Health Agency
- North Babylon, NY
National Provider Identifier
1891095287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 020030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reylito Poliquit Pumarada, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Physical Therapist
- North Babylon, NY
- NPI 1073654398
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.