Tarek K Agag, PT, DPT
Individual provider Active NPI Physical Therapist · Great Neck, NY
NPI 1073120952 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1073120952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 046284-01 (NY)
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA
Practice addresses (Care Compare)
225 Merrick Rd
Lynbrook, NY 11563-2621
Phone (516) 559-8734
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201022000889 | NY | Practitioner - Physical Therapist in Private Practice | 3971923459 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046284 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 046284-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current |
Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current |
Accepting new patients |
| Reddy Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533
4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844
3153 Albany Post Rd
Buchanan, NY 10511
Phone (914) 737-2701
15 Frowein Rd
Bldg A1
Ctr Moriches, NY 11934
Phone (631) 617-6265
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
800 E Gate Blvd
Garden City, NY 11530
1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
18 E Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 418-8283
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
259 Walt Whitman Rd
Huntington Station, NY 11746
Phone (516) 738-4844
225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734
3135 Long BCH Rd
Oceanside, NY 11572
322 W Main St
Patchogue, NY 11772
Phone 5167458070520
510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662
1500 Route 112
Bldg 9
Port Jefferson Station, NY 11776
Phone (631) 849-6688
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313
1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556
5958 Route 25A
Wading River, NY 11792
Phone (631) 804-9410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046284-01 | NY | Yes |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Mailing address
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030
Other practice location 1
309 Northwest Dr
Farmingdale, NY 11735-4935
Phone (516) 420-2900
Other practice location 2
1034 N Broadway Ste 2
Yonkers, NY 10701-1329
Phone (914) 509-4640
Other providers in Great Neck, NY
- Advanced Medical Imaging of Long Island PC
- Advanced Psychological Services LLC
- Advantus Home Care Inc.
- Aesthetic Plastic Surgery PC
- Eldad Afrahim
- Troy Agard
- Ageless Mind Ny Inc
- Elham Aghajani
- Natalie Aghajani
- Ariella Aghalarian
All providers in Great Neck, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. 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.