Individual provider Active NPI

Dennis Cruz Cordovez, DPT, PT, PTRP

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1154086056
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041298 Issued in NY
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

Updated by the provider on Nov 4, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20211119001761 NY Practitioner - Physical Therapist in Private Practice 8820487481 Reassigns benefits to 1 organization

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
Central Park Physical Medicine and Rehabilitation P.C.Group PAC ID 1759294135, 9 clinicians

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 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041298NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Nov 12, 2021 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.

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.

Verify at the official NPI Registry.