Mary Baranczak, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

026457 Issued in NY

Practice address

21 Southdown Rd
Huntington, NY 11743-2538

Phone

(631) 425-1110

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Physical Therapy PCGroup PAC ID 5193021053, 2 clinicians

Massapequa PT and Pta PLLCGroup PAC ID 4385828797, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (1 of 5)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Harbor Physical Therapy, P.C.

  • Physical Therapist
  • Huntington, NY
  • NPI 1154707636

  NY, Orthopedic

  Medicare reassignment Care Compare group NPD
• Massapequa PT & Pta PLLC

  • Physical Therapist
  • N Massapequa, NY
  • NPI 1316246895

  NY

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1114170230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTHDOWN RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTHDOWN RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432538",
            "telephone_number": "631-425-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANCZAK",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2024-02-13",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "026457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balveen Singh MD PLLC
• Christine Balzano, CASAC-T
• Scott J Banks, D.C.
• Stacey K Baptiste, DPM
• Tasha M Baptiste, CNM
• Barbara a. Romano, PH.D., Psychologist, P.C.
• Joseph McGoldrick Bargellini, M.D.
• Lauren Barillaro, LMSW
• Darcy Barillas, LMHC
• Douglas Barnaby, MD

• All providers in Huntington, NY
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.