Individual provider Active NPI

Ma Girlie Acero, PT

  • Geriatric Physical Therapist
  • Floral Park, NY
National Provider Identifier
1073770517
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
014002-1 Issued in NY
Practice address
20 Florence St
Floral Park, NY 11001-1704
Phone
(516) 721-7504
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 014002-1 NY Primary

Addresses

Primary practice location

20 Florence St
Floral Park, NY 11001-1704

Mailing address

20 Florence St
Floral Park, NY 11001-1704
Phone (516) 721-7504

Other names 1

  • Ma.Girlie Olmedo Former name

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

LicenseStateTypeSpecialty
014002-1NYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Score Rehabilitation Physical and Occupational Therapy Services, PLLC Geriatrics PastSince Jul 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1073770517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FLORENCE ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011704",
            "telephone_number": "516-721-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FLORENCE ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011704",
            "telephone_number": "516-721-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACERO",
        "first_name": "MA GIRLIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "014002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA.GIRLIE",
            "last_name": "OLMEDO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.