Active NPI
Dennis Cruz Cordovez, DPT, PT, PTRP
- Physical Therapist
- Forest Hills, NY
National Provider Identifier
1154086056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041298
- Practice address
- 10814 72ND Ave Ste 4
Forest Hills, NY 11375-5301 - Phone
- (718) 520-8480
- NPI assigned
- Nov 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 041298 | NY | Primary |
Addresses
Primary practice location
10814 72ND Ave Ste 4
Forest Hills, NY 11375-5301
Mailing address
8034 47TH Ave FL 1
Elmhurst, NY 11373-3548
Phone (929) 580-5029
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E 39TH St
New York, NY 10016-0111
Phone 2129571930111
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 88.31
- Improvement activities
- 40
- Cost
- 69.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041298 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Chiropractic PLLC | Physical Therapist | Current | Accepting new patients |
| Ny Physical Medicine | Past | Accepting new patients |
Locations
10814 72nd Ave
Ste 4
Forest Hills, NY 11375
Phone (718) 749-2171
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1396813184
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Physical Therapist
- Forest Hills, NY
- NPI 1144622515
-
- Family Medicine Physician
- Forest Hills, NY
- NPI 1437399581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1154086056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8034 47TH AVE FL 1",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733548",
"telephone_number": "929-580-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10814 72ND AVE STE 4",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755301",
"telephone_number": "718-520-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVEZ",
"first_name": "DENNIS",
"middle_name": "CRUZ",
"credential": "DPT, PT, PTRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.