Individual provider Active NPI

Cesar Candelaria Pajarillaga, PT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1952546467
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29179 Issued in NY
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190722001385 NY Practitioner - Physical Therapist in Private Practice 6002142502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29179NYMDPhysical Therapist
029179NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.