Active NPI
Aerrol Dubongco, DPT
- Physical Therapist
- Katonah, NY
National Provider Identifier
1124813100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053207
- Practice address
- 215 Katonah Ave
Katonah, NY 10536-2138 - Phone
- (914) 816-4110
- NPI assigned
- Apr 11, 2025
- Sex
- Male
- 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 | 053207 | NY | Primary |
Addresses
Primary practice location
215 Katonah Ave
Katonah, NY 10536-2138
Mailing address
115 Vista Ter N
Mahopac, NY 10541-3176
Phone (845) 667-9291
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Main St
Armonk, NY 10504-1843
Phone (914) 273-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053207 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focal Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
Locations
215 Katonah Ave
Katonah, NY 10536
Phone (914) 232-4702
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Armonk, NY
- NPI 1003533969
-
- Physical Therapist
- New York, NY
- NPI 1568037257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1124813100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 VISTA TER N",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413176",
"telephone_number": "845-667-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 KATONAH AVE",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362138",
"telephone_number": "914-816-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBONGCO",
"first_name": "AERROL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.