Active NPI
Priscilla Pavai, PT
- Physical Therapist
- Brightwaters, NY
National Provider Identifier
1124877576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051759
- Practice address
- 234 Orinoco Drive
Brightwaters, NY 11718 - Phone
- (631) 300-0797
- NPI assigned
- May 17, 2024
- 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 | 051759 | NY | Primary |
Addresses
Primary practice location
234 Orinoco Drive
Brightwaters, NY 11718
Mailing address
8 Rumford Rd
Kings Park, NY 11754-4110
Phone (609) 592-8117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051759 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine & Rehabilitation of Long Island | Current | Accepting new patients |
Locations
234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079
Organizations & group practices 1
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brightwaters, NY
- NPI 1003293366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1124877576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 RUMFORD RD",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117544110",
"telephone_number": "609-592-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 ORINOCO DRIVE",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "11718",
"telephone_number": "631-300-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVAI",
"first_name": "PRISCILLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brightwaters, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.