Ysabelle Charlaine Comia Arrozal
Individual provider Active NPI Physical Therapy Clinic/Center · Cordova, TN
NPI 1063287233 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1063287233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 14841 (TN)
- Practice address
- 856 Willow Tree Cir
Cordova, TN 38018-6350 - Phone
- (901) 794-7988
- Fax
- (901) 203-2805
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth and Fitness PT OT PLLC
Practice addresses (Care Compare)
180 W End Ave
Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240301003121 | NY | Practitioner - Physical Therapist in Private Practice | 3779928502 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14841 | TN | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth and Fitness PT OT PLLC | Current |
Accepting new patients | |
| Prohealth and Fitness PT OT PLLC | Physical Therapy | Current |
Accepting new patients |
Locations
150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 14841 | TN | Yes |
Addresses
Primary practice location
856 Willow Tree Cir
Cordova, TN 38018-6350
Mailing address
677 Chateau Pointe Blvd
Southaven, MS 38672-8573
Phone (662) 545-7696
Other providers in Cordova, TN
- Applingwood
- Applingwood Healthcare Center LLC
- Nereida Aranda
- Lisa Michelle Archer
- Thomas W Arnold
- Audra Arstikaitis-Nagel
- Jacqueline Yaa Konadu Asamoah
- Judy D Ash
- Chester Arthur Ashford Jr.
- Asparkle Inclusive Care
All providers in Cordova, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.