Jose Mari Lim Raffinan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040308 Issued in NY

Practice address

4846 47TH St Apt 4E
Woodside, NY 11377-7267

Phone

(929) 431-5274

NPI assigned

Dec 14, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1972262145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 47TH ST APT 4E",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777267",
            "telephone_number": "929-431-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4846 47TH ST APT 4E",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777267",
            "telephone_number": "929-431-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFINAN",
        "first_name": "JOSE MARI",
        "middle_name": "LIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Woodside, NY
• Providers in Woodside, 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 Dec 14, 2021; 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.