Active NPI
Mary Dane L Del Fierro, PT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1124746094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04793201
- Practice address
- 1963 Grand Concourse FL 2
Bronx, NY 10453-4995 - Phone
- (718) 466-4600
- NPI assigned
- Aug 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04793201 | Primary |
Addresses
Primary practice location
1963 Grand Concourse FL 2
Bronx, NY 10453-4995
Mailing address
3754 65TH St FL 2
Woodside, NY 11377-2849
Phone (332) 217-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047932 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
Locations
210 N Central Ave
Ste 330
Hartsdale, NY 10530
Phone (914) 873-1878
972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526
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 and National Provider Directory roles.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661040000000",
"number": "1124746094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3754 65TH ST FL 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772849",
"telephone_number": "332-217-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 GRAND CONCOURSE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104534995",
"telephone_number": "718-466-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL FIERRO",
"first_name": "MARY DANE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-21",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "04793201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.