Active NPI
Pauline Michelle Semana Pagtama, R.P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1972825123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030813
- Practice address
- 3500 Nostrand Ave
Brooklyn, NY 11229-5107 - Phone
- (718) 769-2521
- NPI assigned
- Feb 15, 2010
- Last updated
- Feb 15, 2010
- Sex
- Female
- 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 | 030813 | NY | Primary |
Addresses
Primary practice location
3500 Nostrand Ave
Brooklyn, NY 11229-5107
Mailing address
8625 59TH Ave
Apt 2 F
Elmhurst, NY 11373-5551
Phone (201) 647-0156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030813 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1972825123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 59TH AVE",
"address_2": "APT 2 F",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735551",
"telephone_number": "201-647-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295107",
"telephone_number": "718-769-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGTAMA",
"first_name": "PAULINE MICHELLE",
"middle_name": "SEMANA",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.