Active NPI
Rose Ann Yu Tamayo, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1124349519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01351100
- Practice address
- 200 W 57TH St
Suite 900
New York, NY 10019-3211 - Phone
- (212) 981-1977
- Fax
- (212) 643-9192
- NPI assigned
- Jun 19, 2010
- Last updated
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 032391-1 | NY | |
| Physical Therapist | 225100000X | 40QA01351100 | NJ | Primary |
Addresses
Primary practice location
200 W 57TH St
Suite 900
New York, NY 10019-3211
Mailing address
61 Broadway
Suite 2824
New York, NY 10006-2701
Phone (212) 981-1977
Other names 1
- Rose Ann Clarete Yu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
136 N Washington Ave
Suite 103
Bergenfield, NJ 07621-1776
Phone (201) 387-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01351100 | NJ | MD | Physical Therapist |
| 032391-1 | NY | MD | Physical Therapist |
| 032391 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen Spine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| James a Kennedy Physical Therapist PLLC | Past | Accepting new patients | |
| Interfysio, LLC. | Past | Accepting new patients | |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
136 N Washington Ave
Ste 103
Bergenfield, NJ 07621
Phone (201) 387-2800
Organizations & group practices 4
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.
-
- Occupational Health Chiropractor
- Bergenfield, NJ
- NPI 1992804868
Physical Therapist
-
- Case Management Agency
- New York, NY
- NPI 1790929016
-
- Case Management Agency
- New York, NY
- NPI 1265707780
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1124349519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BROADWAY",
"address_2": "SUITE 2824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062701",
"telephone_number": "212-981-1977",
"fax_number": "212-643-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-981-1977",
"fax_number": "212-643-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAYO",
"first_name": "ROSE ANN",
"middle_name": "YU",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-19",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032391-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01351100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSE ANN",
"last_name": "YU",
"middle_name": "CLARETE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.