Individual provider Active NPI

Stephanie Rose Ringbauer

  • Physical Therapist
  • Bethpage, NY
National Provider Identifier
1053868737
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040943 Issued in NY
Practice address
4277 Hempstead Tpke
Suite 209 a
Bethpage, NY 11714-5709
Phone
(516) 731-3583
Fax
(516) 731-3587
NPI assigned
Sep 9, 2016
Last updated
Feb 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P03294 NY
Physical Therapist 225100000X 040943 NY Primary

Addresses

Primary practice location

4277 Hempstead Tpke
Suite 209 a
Bethpage, NY 11714-5709

Mailing address

4277 Hempstead Tpke
Suite 209 a
Bethpage, NY 11714-5709
Phone (516) 731-3583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125001470 NY Practitioner - Physical Therapist in Private Practice 0648552729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 Walt Whitman Rd
Suite 120
Melville, NY 11747-3237
Phone (631) 267-5130

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 621-1170

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as individual
Quality
77.31
Improvement activities
40
Cost
92.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P03294NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jun 1, 2019 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Heritage Home Care LLC Physical Therapist CurrentSince May 21, 2023 Accepting new patients
Lake Shore Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

1800 Walt Whitman Rd
Ste 120
Melville, NY 11747
Phone (631) 293-9540

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, 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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1053868737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 209 A",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-3583",
            "fax_number": "516-731-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 209 A",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-3583",
            "fax_number": "516-731-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGBAUER",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P03294",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.