North Corona Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTH CORONA PHYSICAL THERAPY PC

Practice address

10318 39TH Ave Ste C
Corona, NY 11368-2303

Phone

(718) 709-7583

Fax

(718) 942-9341

NPI assigned

May 8, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Radessa Cruz Regulacion, PT

Title

Physical Therapist

Phone

(718) 709-7583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Radessa Gem C Regulacion

  • Physical Therapist
  • Corona, NY
  • NPI 1235800699
  Medicare reassignment NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1922798628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 39TH AVE STE C",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682303",
            "telephone_number": "718-709-7583",
            "fax_number": "718-942-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 39TH AVE STE C",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682303",
            "telephone_number": "718-709-7583",
            "fax_number": "718-942-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CORONA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "REGULACION",
        "authorized_official_first_name": "RADESSA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-709-7583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Corona, NY
• Providers in Corona, 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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.