Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNEN IVY RILLERA BASCAO
ActiveSHANNEN IVY RILLERA BASCAO is a Physical Therapy Assistant healthcare provider located in JACKSON HEIGHTS, New York. NPI 1841953858 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSON HEIGHTS, NY
Registration Details
- NPI Number
- 1841953858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2021 (4.8345399222023 yrs)
- Last Updated
- Nov 18, 2022
- Licenses
-
012416 (NY)049327 (NY)
Practice Information
- Address
-
9033 ELMHURST AVEJACKSON HEIGHTS, NY, 113727935Browse NY providers · Browse ZIP 11372
- Phone
- 7185652970
- Fax
- 7185652972
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in JACKSON HEIGHTS, NY
| Name | Credential | NPI |
|---|---|---|
| LILIANA M DE LA HOZ-AYARZA | P.T | 1083694434 |
| RONALD FERNANDO ALZATE ARROYAVE | PT | 1710930284 |
| GLORIA B ZAPATA | PT | 1063456804 |
| RONAH C SETIAS | PT | 1043309636 |
| PATRICIA MEDINA | PT | 1124117767 |
| JESSICA MEIS | PT | 1093874943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.