Pastor Vidal Tamayo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016506 Issued in NY

Practice address

6039 78TH St
Middle Village, NY 11379-5307

Phone

(917) 476-3012

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rehabilitation and Physical Therapy Specialist PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1427331750

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912042631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 78TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795307",
            "telephone_number": "917-476-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 78TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795307",
            "telephone_number": "917-476-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "PASTOR",
        "middle_name": "VIDAL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Super Vision Eye Care of Middle Village Inc
• Olivia Szereszowiec, MD
• Monika Szymborska, LMSW
• Marta Szyszka
• Shigeko Takagi
• Tara Vigh, Inc.
• Kinga Tarczalowicz
• Ionut John Teaca, PHARMD
• Technology Testing of Ny, LLC
• Teodora R Constantinescu DDS PC

• Physical Therapist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.