Jeff Marwin Angelo Lim Pineda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040629-1 Issued in NY

Practice address

90 Brigham Rd Apt C13
Fredonia, NY 14063-1025

Phone

(716) 680-1639

NPI assigned

Sep 19, 2021

Sex

Male

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

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Caring Rehab PT PLLCGroup PAC ID 1850756206, 2 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 and National Provider Directory roles.

• Caring Rehab PT PLLC

  • Rehabilitation Clinic/Center
  • East Rockaway, NY
  • NPI 1285334904

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Thrive Therapy PT OT PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1972310514
  Medicare reassignment NPD

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1942970173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BRIGHAM RD APT C13",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631025",
            "telephone_number": "716-680-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRIGHAM RD APT C13",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631025",
            "telephone_number": "716-680-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JEFF MARWIN ANGELO",
        "middle_name": "LIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040629-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Marie Paredes, LMHC
• Amy Lee Peters, CCC-SLP
• Dawn Piatasik
• Nicole Amber Piazza, SLP
• Julian Pierce, L.AC.
• Olivia Plaza, COTA/L
• Michelle A Polvino, MS;ED.
• Brenda Postolowski
• Heidi Anne Powell, RN
• Qpharma Inc

• Physical Therapist in Fredonia, NY
• Providers in Fredonia, 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 Sep 19, 2021; 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.