Individual provider Active NPI

Francis O. Ipaye, PT

  • Physical Therapist
  • Mount Vernon, NY
National Provider Identifier
1033141387
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022309 Issued in NY
Practice address
PO Box 388
Mount Vernon, NY 10551-0388
Phone
(718) 655-6200
Fax
(718) 655-6201
NPI assigned
Jul 7, 2006
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 022309 NY Primary

Addresses

Primary practice location

PO Box 388
Mount Vernon, NY 10551-0388

Mailing address

PO Box 581
Mount Vernon, NY 10552-0581
Phone (718) 655-6200

Other identifiers 1

IdentifierTypeStateIssuer
02837218MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000964 NY Practitioner - Physical Therapist in Private Practice 4688639826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1619 Pelham N Pkwy
Bronx, NY 10469-6416
Phone (718) 655-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022309NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Physical Therapy P.C CurrentSince Sep 25, 2008 Accepting new patients

Locations

1619 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 881-2700

14204 Bayside Ave
Ste 8L
Flushing, NY 11354
Phone (718) 445-6477

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1033141387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105520581",
            "telephone_number": "718-655-6200",
            "fax_number": "718-655-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105510388",
            "telephone_number": "718-655-6200",
            "fax_number": "718-655-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPAYE",
        "first_name": "FRANCIS",
        "middle_name": "O.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.