Provider Demographics
NPI:1710340765
Name:TERRADO, MA. JHOANNE
Entity type:Individual
Prefix:
First Name:MA. JHOANNE
Middle Name:
Last Name:TERRADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8413 52ND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4320
Mailing Address - Country:US
Mailing Address - Phone:718-810-4717
Mailing Address - Fax:718-875-4545
Practice Address - Street 1:5214 VAN LOON ST APT 1A
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4266
Practice Address - Country:US
Practice Address - Phone:929-699-8888
Practice Address - Fax:718-875-4545
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039922225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist