Individual provider Active NPI

Diego Alejandro Payumo Imperio, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1992516819
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052030 Issued in NY
Practice address
651 W 180TH St
New York, NY 10033-4802
Phone
(646) 918-7816
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 052030 NY Primary

Addresses

Primary practice location

651 W 180TH St
New York, NY 10033-4802

Mailing address

6770 Yellowstone Blvd Apt 4R
Forest Hills, NY 11375-2838
Phone (908) 476-8007

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

LicenseStateTypeSpecialty
052030NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rehab PT PC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Adam Physical Therapy P.C. Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

153 Bay 26th St
Brooklyn, NY 11214
Phone (347) 702-9958

651 W 180th St
#2
New York, NY 10033
Phone (646) 863-8353

6009 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 472-1834

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1992516819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 YELLOWSTONE BLVD APT 4R",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752838",
            "telephone_number": "908-476-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "646-918-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPERIO",
        "first_name": "DIEGO ALEJANDRO",
        "middle_name": "PAYUMO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.