Shiarree Evaristo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029257 Issued in NY

Practice address

91-35 97TH Street
Woodhaven, NY 11421

Phone

(347) 965-3356

NPI assigned

Dec 7, 2007

Last updated

Apr 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Englinton Medical PCGroup PAC ID 9234103870, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Englinton Medical PC

  • Health Maintenance Organization
  • Woodhaven, NY
  • NPI 1689873085
  Medicare reassignment Care Compare group
• S R E Physical Therapy Professional Association

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1679918783
  Authorized official Same address or phone

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1033392469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-35 97 STREET",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "347-965-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-35 97TH STREET",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "347-965-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVARISTO",
        "first_name": "SHIARREE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kharizza Alleth Bote Empedrado, PT
• Mary Jean P Endozo, PT
• Englinton Medical PC
• Bernardita Jeshae Estrella, COTA
• Evan David Opticians
• Ez Care Medical Services, PLLC
• Petr Fakhlayev
• Taseen Ferdous
• First American Alliance
• Flavio Crisari Physician PC

• Physical Therapist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.