Active NPI
Cheryl Aquino, PT
- Physical Therapist
- Stony Brook, NY
National Provider Identifier
1912933276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022428-1
- Practice address
- 207 Hallock Rd
Suite 160
Stony Brook, NY 11790-3033 - Phone
- (631) 751-5588
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022428-1 | NY | Primary |
Addresses
Primary practice location
207 Hallock Rd
Suite 160
Stony Brook, NY 11790-3033
Mailing address
207 Hallock Rd
Suite 160
Stony Brook, NY 11790-3033
Phone (631) 751-5588
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022428-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1912933276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HALLOCK RD",
"address_2": "SUITE 160",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903033",
"telephone_number": "631-751-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HALLOCK RD",
"address_2": "SUITE 160",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903033",
"telephone_number": "631-751-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "CHERYL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022428-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.