Individual provider Active NPI

Nell A Agudo, PT

  • Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1952606402
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014873 Issued in NY
Practice address
83 Montgomery Ave
Scarsdale, NY 10583-5104
Phone
(914) 472-6686
Fax
(914) 472-6757
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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 014873 NY Primary

Addresses

Primary practice location

83 Montgomery Ave
Scarsdale, NY 10583-5104

Mailing address

83 Montgomery Ave
Scarsdale, NY 10583-5104
Phone (914) 472-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1952606402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-472-6686",
            "fax_number": "914-472-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-472-6686",
            "fax_number": "914-472-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDO",
        "first_name": "NELL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.