Geralyn Avellino, P.T.

Individual provider Active NPI Physical Therapist · Massapequa, NY

NPI 1114257581 · NPPES record last updated Jan 7, 2010

Key facts

NPI
1114257581
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
012443-1 (NY)
Practice address
998 Carmans Rd
Massapequa, NY 11758-3505
Phone
(516) 547-4730
Fax
(516) 541-4748
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational Speech Massage Therapy and Acupuncture PLL (448 clinicians)

Practice addresses (Care Compare)

4080 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 745-8070

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100 (group)
Quality
73.31
Improvement activities
40
Cost
73.42

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230921002222 NY Practitioner - Physical Therapist in Private Practice 3577917772 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
012443-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro PT OT and SLP Health PLLC Physical Therapist Current
since Mar 6, 2024
Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist Current
since Aug 22, 2023
Accepting new patients
Spectrum Physical Therapy & Chiropractic, PLLC Physical Therapist Past
since Sep 14, 2015
Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012443-1 NY Yes

Addresses

Primary practice location

998 Carmans Rd
Massapequa, NY 11758-3505

Mailing address

998 Carmans Rd
Massapequa, NY 11758-3505
Phone (516) 547-4730

Other identifiers

IdentifierTypeStateIssuer
012443-1OtherNYLICENSE NUMBER

Other providers in Massapequa, NY

All providers in Massapequa, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.