Individual provider Active NPI

Maria Randazzo, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1184267064
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
17 Eastern Pkwy
Brooklyn, NY 11238-5675
Phone
(718) 623-2500
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 Primary

Addresses

Primary practice location

17 Eastern Pkwy
Brooklyn, NY 11238-5675

Mailing address

1437 Bay Ridge Pkwy
Brooklyn, NY 11228-2212
Phone (347) 522-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203003092 NY Practitioner - Physical Therapist in Private Practice 0042643140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliable Occupational Therapy, PCGroup PAC ID 8123091238, 7 clinicians

Practice addresses (Care Compare)

7610 13TH Ave
Suite 7612
Brooklyn, NY 11228-2446
Phone (718) 234-5091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Occupational Therapy, PC CurrentSince Dec 13, 2019 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 22, 2020 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Sep 22, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

900 Route 9 N
Fl 4
Woodbridge, NJ 07095

1301 57th St
Brooklyn, NY 11219
Phone (718) 283-3640

194 Joralemon St
Fl 4
Brooklyn, NY 11201
Phone (718) 643-7116

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

7605 13th Ave
Brooklyn, NY 11228
Phone (718) 331-4300

7610 13th Ave
#7612
Brooklyn, NY 11228
Phone (718) 234-5091

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1184267064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282212",
            "telephone_number": "347-522-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385675",
            "telephone_number": "718-623-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.