Active NPI
Erika Votruba, DPT
- Physical Therapist
- Mastic, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027506-1
- Practice address
- 1636 Montauk Hwy
Mastic, NY 11950-3016 - Phone
- (631) 399-0007
- NPI assigned
- Jan 23, 2006
- Last updated
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | 027506-1 | NY | Primary |
Addresses
Primary practice location
1636 Montauk Hwy
Mastic, NY 11950-3016
Mailing address
1133 Montauk Hwy
Mastic, NY 11950-2918
Phone (631) 399-0007
Other practice location 1
141 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 467-4235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04206608 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
141 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 467-4235
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.81 of 100
- Quality
- 94.75
- Improvement activities
- 0
- Cost
- 76.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027506-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spagnoli Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
Locations
141 Mark Tree Rd
Centereach, NY 11720
Phone (631) 251-7577
1636 Montauk Hwy
Ste 4
Mastic, NY 11950
Phone (631) 399-0007
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Centereach, NY
- NPI 1386624237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1114907318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MONTAUK HWY",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502918",
"telephone_number": "631-399-0007",
"fax_number": "631-399-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 MONTAUK HWY",
"city": "MASTIC",
"state": "NY",
"postal_code": "119503016",
"telephone_number": "631-399-0007"
}
],
"practiceLocations": [
{
"address_1": "141 Mark Tree Rd",
"address_purpose": "LOCATION",
"city": "Centereach",
"state": "NY",
"postal_code": "117202221",
"country_code": "US",
"telephone_number": "631-467-4235",
"fax_number": "631-467-2655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOTRUBA",
"first_name": "ERIKA",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027506-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04206608",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.