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RONALDO SAN JUAN CORACHEA
NPI 1669793980
Physical Therapist - Geriatrics in Glendale, NY

Active since June 22, 2010Accepts Medicare Assignment
7608 69TH PL APT 2B, GLENDALE, NY 11385(347) 886-6661 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronaldo San Juan Corachea NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALDO SAN JUAN CORACHEA (NPI 1669793980) is an individual geriatrics provider in Glendale, New York, licensed in New York (018679-1) and active in the NPI registry since June 2010. He is a graduate of Other (1995).

NPPES Registry Identity

NPI1669793980
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameRONALDO SAN JUAN CORACHEA
Location Address7608 69TH PL APT 2BGlendale, NY 11385-7138
Mailing Address7608 69th Pl Apt 2bGlendale, NY 11385-7138 · (347) 886-6661
Phone(347) 886-6661
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 22, 2010
✔ NPI 1669793980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NY · 018679-1
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License 018679-1 (NY)
7608 69TH PL APT 2B, Glendale, NY 11385
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronaldo San Juan Corachea is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648755926
PECOS Enrollment IDI20260403002078

Medicare Billing Reassignment

Medicare enrollment records show Ronaldo Corachea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimum Therapeutics Pt & Ot PLLC
25 mi
Physical Therapist
1 HUNTINGTON QUADRANGLE STE 1S07
Melville, NY 11747
  • Reassigned Medicare billing, New York enrollment
  • 51 clinicians in this Medicare group
NPI 1972882322 (516) 222-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronaldo Corachea's NPI number?

The NPI number for Ronaldo Corachea is 1669793980. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Ronaldo Corachea located?

Ronaldo Corachea practices at 7608 69th Pl Apt 2B, Glendale, NY 11385. The listed phone number is (347) 886-6661.

What is Ronaldo Corachea's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Ronaldo Corachea enrolled in Medicare?

Yes. Ronaldo Corachea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ronaldo Corachea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronaldo Corachea reassigns Medicare benefits to Optimum Therapeutics Pt & Ot PLLC (Melville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronaldo Corachea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronaldo Corachea was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.