Active NPI
Ysabelle Charlaine Comia Arrozal
- Physical Therapy Clinic/Center
- Cordova, TN
National Provider Identifier
1063287233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 14841
- Practice address
- 856 Willow Tree Cir
Cordova, TN 38018-6350 - Phone
- (901) 794-7988
- Fax
- (901) 203-2805
- NPI assigned
- Nov 17, 2023
- Last updated
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 14841 | TN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 W End Ave
Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051749 | NY | MD | Pharmacist |
| 14841 | TN | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth and Fitness PT OT PLLC | Physical Therapy | Current | Accepting new patients |
| Prohealth and Fitness PT OT PLLC | Current | Accepting new patients |
Locations
150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1508160581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1063287233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 CHATEAU POINTE BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386728573",
"telephone_number": "662-545-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 WILLOW TREE CIR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186350",
"telephone_number": "901-794-7988",
"fax_number": "901-203-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROZAL",
"first_name": "YSABELLE CHARLAINE",
"middle_name": "COMIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TN",
"license": "14841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.