Individual provider Active NPI

Ludivina Salon Bation

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1912205956
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030632-1 Issued in NY
Practice address
1661 Seddon St
Bronx, NY 10461
Phone
(551) 358-3610
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030632 NY
Physical Therapist 225100000X 030632-1 NY Primary

Addresses

Primary practice location

1661 Seddon St
Bronx, NY 10461

Mailing address

1661 Seddon St
1St FLR
Bronx, NY 10461
Phone (551) 358-3610

Other names 1

  • Ludivina Salon Daomilas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030632-1NYMDPhysical Therapist
030632NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1912205956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SEDDON ST",
            "address_2": "1ST FLR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "551-358-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SEDDON ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "551-358-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATION",
        "first_name": "LUDIVINA",
        "middle_name": "SALON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030632",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030632-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUDIVINA",
            "last_name": "DAOMILAS",
            "middle_name": "SALON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.