Individual provider Active NPI

Sheela P De Oca, PT

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1053326421
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019138 Issued in NY
Practice address
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone
(516) 829-0030
Fax
(516) 466-7723
NPI assigned
Jul 31, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 019138 NY Primary

Addresses

Primary practice location

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Mailing address

216 Staples St
2F
Farmingdale, NY 11735-4241
Phone (516) 752-2172

Other practice location 1

630 Lenox Ave
Suite D
New York, NY 10037-1247
Phone (212) 862-8800

Other names 1

  • Ms. Sheela P Exito Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000276 NY Practitioner - Physical Therapist in Private Practice 3870581606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Care Physical Therapy PCGroup PAC ID 5890685986, 139 clinicians

Practice addresses (Care Compare)

475 Northern Blvd
Great Neck, NY 11021-4802
Phone (516) 829-0030

485 N Ocean Ave
Patchogue, NY 11772-1762
Phone (631) 475-0353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019138NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care MD PC Physical Therapist Current Accepting new patients
Island Musculoskeletal Care, MD, PC Physical Therapist CurrentSince Nov 1, 2011 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist CurrentSince Nov 1, 2011 Accepting new patients
Reddy Care Physical Therapy PC Physical Therapist CurrentSince Sep 24, 2024 Accepting new patients
Ultimate Physical Therapy Physical Therapist PastSince Jul 3, 1998 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC PastSince Oct 3, 2018 Accepting new patients

Locations

1470 Sunrise Hwy
Bay Shore, NY 11706
Phone (631) 446-1480

20832 Cross Island Pkwy
Ste 32
Bayside, NY 11360
Phone (516) 466-7723

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

2024 Deer Park Ave
Deer Park, NY 11729
Phone (516) 243-0247

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

250 W 93rd St
Apt Llvl
New York, NY 10025
Phone (212) 580-0125

2421 Long Beach Rd
Ste 202
Oceanside, NY 11572
Phone (516) 992-2282

150 Woodbury Rd
Ste 4
Woodbury, NY 11797
Phone (516) 367-1111

Networks

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

Organizations & group practices 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1053326421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STAPLES ST",
            "address_2": "2F",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354241",
            "telephone_number": "516-752-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Lenox Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371247",
            "country_code": "US",
            "telephone_number": "212-862-8800",
            "fax_number": "212-862-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE OCA",
        "first_name": "SHEELA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEELA",
            "last_name": "EXITO",
            "middle_name": "P",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.