Active NPI
Mylene Abalos Moustakas, PT
- Geriatric Physical Therapist
- Yonkers, NY
National Provider Identifier
1063647659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 023995
- Practice address
- 65 Ashburton Ave
Yonkers, NY 10701-2930 - Phone
- (914) 963-4000
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 023995 | NY | Primary |
Addresses
Primary practice location
65 Ashburton Ave
Yonkers, NY 10701-2930
Mailing address
65 Ashburton Ave
Yonkers, NY 10701-2930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023995 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1063647659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 ASHBURTON AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 ASHBURTON AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012930",
"telephone_number": "914-963-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTAKAS",
"first_name": "MYLENE",
"middle_name": "ABALOS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "023995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
- Mount Sinai Health Inc
- Mount Sinai Health Inc.
- Mount Sinai School of Medicine of New York University
- Mount Vernon Neighborhood Health Center, Inc.
- Regina Mousatti Mousatti, TEACHER
- Farrah Mowatt
- Amanda Moya, PT, DPT
- Mr. Carmine'S International Hair Forum, Inc.
- Mt Endocrinology PC
- Mt. Sinai Elmhurst Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.