Individual provider Active NPI

Mary Jane Ramil Acosta

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124433792
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037451 Issued in NY
Practice address
229 E 21St St Ste 1
New York, NY 10010-6433
Phone
(212) 473-3703
Fax
(212) 473-3709
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037451 NY Primary

Addresses

Primary practice location

229 E 21St St Ste 1
New York, NY 10010-6433

Mailing address

229 E 21St St Ste 1
New York, NY 10010-6433
Phone (212) 473-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128001339 NY Practitioner - Physical Therapist in Private Practice 4385947159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Musculoskeletal Care MD PCGroup PAC ID 9537058573, 14 clinicians

Practice addresses (Care Compare)

125 Franklin Ave
Valley Stream, NY 11580-2165
Phone (516) 887-1787

125 Franklin Ave
203 Island Musculoskeletal Care MD PC
Hewlett, NY 11557-1429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037451NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care, M.D., P.C. Physical Therapist CurrentSince May 10, 2018 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist CurrentSince May 10, 2018 Accepting new patients
Medcare, LLC Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist Current Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Dec 4, 2023 Accepting new patients
Advanced Professional Marketing, Inc. Past Accepting new patients
Oasis Professional Management Group LTD. Past Accepting new patients
Lafayette Medical Office, PC Physical Therapist PastSince Dec 1, 2015 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000

Networks

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1124433792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E 21ST ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106433",
            "telephone_number": "212-473-3703",
            "fax_number": "212-473-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E 21ST ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106433",
            "telephone_number": "212-473-3703",
            "fax_number": "212-473-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MARY JANE",
        "middle_name": "RAMIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2014; 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.