Individual provider Active NPI

Jonathan Munoz, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1902565963
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1 Nagle Ave
New York, NY 10040-1405
Phone
(646) 610-1976
NPI assigned
Dec 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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 Primary

Addresses

Primary practice location

1 Nagle Ave
New York, NY 10040-1405

Mailing address

56 Cheever Ave
Clifton, NJ 07011-1403
Phone (646) 610-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220215001865 NY Practitioner - Physical Therapist in Private Practice 2062805013 Reassigns benefits to 1 organization
I20220926001129 NJ Practitioner - Physical Therapist in Private Practice 2062805013

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

3644 -48 Broadway
New York, NY 10031-2520
Phone (718) 514-6120

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048300NYMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist Past Accepting new patients

Locations

2148 Bartow Ave
Bronx, NY 10475
Phone (718) 316-9191

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

166 Fulton Ave
Ste 168
Hempstead, NY 11550

7627 37th Ave
Jackson Heights, NY 11372
Phone (718) 887-9888

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

131 W 135th St
New York, NY 10030
Phone (212) 281-8678

2229 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 678-2200

3644 Broadway
Ste 48
New York, NY 10031

1 Nagle Ave
New York, NY 10040
Phone (212) 928-7800

1 Nagle Ave
#1
New York, NY 10040

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1902565963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CHEEVER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111403",
            "telephone_number": "646-610-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401405",
            "telephone_number": "646-610-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Dec 16, 2021; 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.