Active NPI
Matthew Macina
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039145
- Practice address
- 132 W 96TH St
Suite 1a
New York, NY 10025-6418 - Phone
- (212) 249-2758
- Fax
- (212) 249-2506
- NPI assigned
- Aug 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039145 | NY | Primary |
Addresses
Primary practice location
132 W 96TH St
Suite 1a
New York, NY 10025-6418
Mailing address
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 819-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
973 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 230-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039145 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
25 Flatbush Ave
Ste 3
Brooklyn, NY 11217
Phone (718) 852-2584
973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
90 Northern Blvd
Greenvale, NY 11548
Phone (516) 626-5080
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
8002 Kew Gardens Rd
Fl 4
Kew Gardens, NY 11415
Phone (718) 263-7500
576 Broadhollow Rd
Melville, NY 11747
16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 5
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.
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- Physical Therapist
- Harrison, NY
- NPI 1396799409
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- Occupational Therapist
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- NPI 1205296902
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Occupational Therapist
- New York, NY
- NPI 1033667464
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1003282930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "718-819-6800",
"fax_number": "347-841-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 W 96TH ST",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256418",
"telephone_number": "212-249-2758",
"fax_number": "212-249-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINA",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039145",
"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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.