Individual provider Active NPI

Aerrol Dubongco, DPT

  • Physical Therapist
  • Katonah, NY
National Provider Identifier
1124813100
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053207 Issued in NY
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

Updated by the provider on Apr 11, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250422000579 NY Practitioner - Physical Therapist in Private Practice 3971028028 Reassigns benefits to 2 organizations

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
Focal Physical Therapy PLLCGroup PAC ID 1456721638, 13 clinicians

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

LicenseStateTypeSpecialty
053207NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Focal Physical Therapy PLLC Physical Therapist CurrentSince Feb 13, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jan 1, 2026 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.

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.

Verify at the official NPI Registry.