BIG LEAP PHYSICAL THERAPY PC (NPI# 1740685817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740685817 |
| Entity Type | Organization |
| Organization Name | BIG LEAP PHYSICAL THERAPY PC |
| Practice Address |
3211 55th St Apt. 1 Woodside NY 11377-1910 |
| Practice Telephone | 6465000607 |
| Mailing Telephone | 6465000607 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-11-11 |
| Authorized Official Name | ANA RHEEDA DEL MUNDO AGUILAR (DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 6465000607 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 030854 | NY | Residential Treatment Facilities |
| Street Address |
3211 55TH ST APT. 1 |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124352414 | Emil Bimbo Arguil Bergado | Physical Therapist | 3211 55th St, Apt. 1, Woodside, NY 11377-1906 | 2009-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518169648 | Iren Shemelyak | Residential Treatment Facility, Physical Disabilities | 6127 Woodside Ave, Woodside, NY 11377-3542 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| 1154855476 | Rita Home Aide Inc. | Residential Treatment Facility, Physical Disabilities | 82 Rhodes Dr, New Hyde Park, NY 11040-3528 | 2017-04-13 |
| 1144764028 | Crystal Denise Thompson | Residential Treatment Facility, Physical Disabilities | 73 Orient Ave, Brentwood, NY 11717-1616 | 2016-12-12 |
| 1104293406 | Deborah A Wilson | Residential Treatment Facility, Physical Disabilities | 6 Doud Cir, Hilton, NY 14468-1480 | 2015-08-22 |
| 1598142275 | Drb Services | Residential Treatment Facility, Physical Disabilities | 1537 East 57 Street, 1537 East 57 Street, Brooklyn, NY 11234 | 2015-05-01 |
| 1922491018 | Castarpo Inc | Residential Treatment Facility, Physical Disabilities | 11577 230th St, Cambria Heights, Cambria Heights, NY 11411-1421 | 2015-03-12 |
| 1245635739 | Craig Allen Meade | Residential Treatment Facility, Physical Disabilities | 10 Gordon Pkwy, Syracuse, NY 13219-1060 | 2014-10-27 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| 1932520129 | Carla Lynn Sangiorgio | Residential Treatment Facility, Physical Disabilities | 1080 Rensselaer Ave, Staten Island, NY 10309-2114 | 2013-12-15 |
| 1649607359 | Holcare LLC | Residential Treatment Facility, Physical Disabilities | 1905 22nd Rd, Apt 36, Astoria, NY 11105-3655 | 2013-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.