Phil Abrahm Lyonel Martelino Quinanola

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045363 Issued in NY

Practice address

717 Front St
Hempstead, NY 11550-4534

Phone

(516) 565-4370

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Mobility Physical Therapy PCGroup PAC ID 8325489362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Mobility Physical Therapy PC

  • Physical Therapist
  • Bethpage, NY
  • NPI 1235995408
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1164168233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 51ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734014",
            "telephone_number": "929-421-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504534",
            "telephone_number": "516-565-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINANOLA",
        "first_name": "PHIL ABRAHM LYONEL",
        "middle_name": "MARTELINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Bliss Family Health NP and RN PLLC
• Purexa Health RX Corp
• Q&M Medical PLLC
• Qlimg Hempstead Med Office
• Quan Medical PLLC
• Adalcy Quintin, LMSW
• Matthew John Quiroz
• Mohammad Z Qureshi, MD
• Fatimah A. Rahman, CASAC-T
• Greta M. Rainsford, M.D.

• Physical Therapist in Hempstead, NY
• Providers in Hempstead, 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 May 10, 2022; 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.