Ellen Jay Palacio Mabatid, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0437741 Issued in NY

Practice address

66 New Hyde Park
Garden City, NY 11530

Phone

(516) 233-2524

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Hands on Physical Therapy PC

  • Physical Disabilities Residential Treatment Facility
  • Albertson, NY
  • NPI 1538431481
  NPD (past)
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1144850207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NEWPORT ROAD",
            "address_2": "FIRST FLOOR",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558",
            "telephone_number": "909-348-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NEW HYDE PARK",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-233-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABATID",
        "first_name": "ELLEN JAY",
        "middle_name": "PALACIO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0437741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lynam
• James J Lynch, MD
• Kathleen Mary Lynch, MS APRN BC NP
• M.U.a. Chiropractic Health Care, PLLC
• Sophia Jihae Ma, DPT
• Henry Albert Maccaro, DDS
• Justin Daniel Maccaro, D.M.D
• Gregory Macina, MD
• Erica Mackenzie, LPN
• Corbin Mackey, DPT

• Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.