Russalette Ortiz Magbanua, MPS, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

010144 Issued in NY

Practice address

180 W End Ave
#1M
New York, NY 10023-4902

Phone

(212) 600-4871

Fax

(800) 655-3780

NPI assigned

Dec 1, 2006

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Protherapy Rehabilitation OT PT SLP PLLCGroup PAC ID 2860669975, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Protherapy Rehabilitation OT, PT, SLP, PLLC

  • Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1396022752
  Medicare reassignment Care Compare group NPD Authorized official
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1932277704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 113TH ST",
            "address_2": "APT 3P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755635",
            "telephone_number": "917-459-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W END AVE",
            "address_2": "#1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234902",
            "telephone_number": "212-600-4871",
            "fax_number": "800-655-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBANUA",
        "first_name": "RUSSALETTE",
        "middle_name": "ORTIZ",
        "name_prefix": "Ms.",
        "credential": "MPS, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paloma Magana
• Alejandra Magananunez, LMSW
• Fatoumata Magassa, LMSW
• Ma A Magbago, FNP-BC
• Perla Supnet Magbaleta, LPN
• Gabriela Magda, M.D.
• Evelyn Magdaleno
• Magdi Bebawi MD, PLLC
• Raveena Magdiwar
• Joann M Magdoff, PH.D., LCSW

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.