Jyoti Bariana, PTA

Individual provider Active NPI Physical Therapy Assistant · Roosevelt, NY

NPI 1093360992 · NPPES record last updated Aug 7, 2019

Key facts

NPI
1093360992
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
009297 (NY)
Practice address
380 Washington Ave
Roosevelt, NY 11575-1845
Phone
(563) 783-2000
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
009297NYMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 009297 NY Yes

Addresses

Primary practice location

380 Washington Ave
Roosevelt, NY 11575-1845

Mailing address

171 Princess St
Hicksville, NY 11801-1151
Phone (347) 635-0794

Other providers in Roosevelt, NY

All providers in Roosevelt, NY · Physical Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.