Alanro Almedilla
Individual provider Active NPI Physical Therapist · Deer Park, NY
NPI 1922540947 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1922540947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 28000 (NY)
- Practice address
- 590 Nicolls Rd
Deer Park, NY 11729-3217 - Phone
- (631) 392-1283
- NPI assigned
- Nov 8, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28000 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stallion Physical Therapy, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28000 | NY | Yes |
Addresses
Primary practice location
590 Nicolls Rd
Deer Park, NY 11729-3217
Mailing address
2030 Erma Dr
East Meadow, NY 11554-1119
Other providers in Deer Park, NY
- All-Island Home Care Services
- Annette Alleyne
- Carlene Marie Allocca
- Ayesha Sattar Almani
- Rafael Almanzar-Paramio
- Marlene Almeida
- Katherine Ambrosino
- American Acupuncture & Herb P. C
- American Heart Medical Services LLC
- American Vital Care
All providers in Deer Park, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.