Active NPI
Ana Samantha Antonio, PT
- Physical Therapist
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045303
- Practice address
- 4343 Kissena Blvd Ste 110
Flushing, NY 11355-2914 - Phone
- (718) 661-1770
- Fax
- (718) 886-6414
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- 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 | 045303 | NY | Primary |
Addresses
Primary practice location
4343 Kissena Blvd Ste 110
Flushing, NY 11355-2914
Mailing address
57 Crescent Dr
Albertson, NY 11507-1101
Phone (718) 661-1710
Other practice location 1
3308 35th Ave
Astoria, NY 11106-1221
Phone (718) 799-6309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230302001844 | NY | Practitioner - Physical Therapist in Private Practice | 2365815800 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 88.31
- Improvement activities
- 40
- Cost
- 69.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045303 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Shasta Health Physical Therapy Ny PC | Physical Therapist | Current | Accepting new patients |
| Soni Care Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
4343 Kissena Blvd
Ste 110
Flushing, NY 11355
Phone (718) 463-1515
924 N Broadway
Massapequa, NY 11758
Phone (516) 520-5507
169 Madison Ave
Ste 11071
New York, NY 10016
Phone (833) 270-9820
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
Organizations & group practices 4
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.
-
- Physical Therapist
- Flushing, NY
- NPI 1497717375
NY, Physical Therapist
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
NY, Physical Therapist
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1932933264
NY, Physical Therapist
-
- Physical Therapist
- Flushing, NY
- NPI 1669820189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1023724770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CRESCENT DR",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071101",
"telephone_number": "718-661-1710",
"fax_number": "718-886-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 KISSENA BLVD STE 110",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552914",
"telephone_number": "718-661-1770",
"fax_number": "718-886-6414"
}
],
"practiceLocations": [
{
"address_1": "3308 35th Ave",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111061221",
"country_code": "US",
"telephone_number": "718-799-6309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONIO",
"first_name": "ANA",
"middle_name": "SAMANTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.