Active NPI
Cesar Candelaria Pajarillaga, PT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1952546467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29179
- Practice address
- 3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440 - Phone
- (954) 332-4449
- Fax
- (866) 884-8106
- NPI assigned
- Dec 11, 2008
- Last updated
- Aug 16, 2017
- 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 | 29179 | NY | Primary |
Addresses
Primary practice location
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309-3440
Mailing address
3234 60TH Street
Woodside, NY 11377-2028
Phone (347) 774-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29179 | NY | MD | Physical Therapist |
| 029179 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Shore Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1871951996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1952546467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3234 60TH STREET",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772028",
"telephone_number": "347-774-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W COMMERCIAL BLVD",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093440",
"telephone_number": "954-332-4449",
"fax_number": "866-884-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAJARILLAGA",
"first_name": "CESAR",
"middle_name": "CANDELARIA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-11",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "29179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.