Individual provider Active NPI

Sebi Ann Varghese, D.P.T.

  • Physical Therapist
  • Albertson, NY
National Provider Identifier
1013252584
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024917-1 Issued in NY
Practice address
1157 Willis Ave
Albertson, NY 11507-1219
Phone
(516) 458-9171
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024917-1 NY Primary

Addresses

Primary practice location

1157 Willis Ave
Albertson, NY 11507-1219

Mailing address

130 Devonshire Dr
New Hyde Park, NY 11040-3616
Phone (516) 458-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125001115 NY Practitioner - Physical Therapist in Private Practice 1153813308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1157 Willis Ave
Suite 102
Albertson, NY 11507-1219
Phone (347) 481-8302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024917-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krupa Wellness LLC Physical Therapist CurrentSince Oct 10, 2025 Accepting new patients

Locations

1157 Willis Ave
Ste 102
Albertson, NY 11507
Phone (347) 481-8302

1157 Willis Ave
Albertson, NY 11507
Phone (516) 458-9171

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1013252584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DEVONSHIRE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403616",
            "telephone_number": "516-458-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071219",
            "telephone_number": "516-458-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SEBI",
        "middle_name": "ANN",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024917-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.

Verify at the official NPI Registry.