Active NPI
Alanro Almedilla
- Physical Therapist
- Deer Park, NY
National Provider Identifier
1922540947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28000
- Practice address
- 590 Nicolls Rd
Deer Park, NY 11729-3217 - Phone
- (631) 392-1283
- NPI assigned
- Nov 8, 2016
- Last updated
- Nov 8, 2016
- Sex
- Male
- 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 | 28000 | NY | Primary |
Addresses
Primary practice location
590 Nicolls Rd
Deer Park, NY 11729-3217
Mailing address
2030 Erma Dr
East Meadow, NY 11554-1119
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 |
|---|---|---|---|
| 28000 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stallion Physical Therapy, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Deer Park, NY
- NPI 1346782158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1922540947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 ERMA DR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 NICOLLS RD",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293217",
"telephone_number": "631-392-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMEDILLA",
"first_name": "ALANRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "28000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.