Individual provider Active NPI

Debra S Difrancesco, PT

  • Physical Therapist
  • Speonk, NY
National Provider Identifier
1184985756
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014675-1 Issued in NY
Practice address
295 Montauk Highway
Store 12 & 13
Speonk, NY 11972-0586
Phone
(631) 325-3400
Fax
(631) 325-3407
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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 014675-1 NY Primary

Addresses

Primary practice location

295 Montauk Highway
Store 12 & 13
Speonk, NY 11972-0586

Mailing address

PO Box 586
Speonk, NY 11972-0586
Phone (631) 325-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014675-1NYMDPathology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Chiropractic PC Past Accepting new patients
Speonk Physical Therapy Physical Therapist Past Accepting new patients
Hampton Medical Wellness, P.C. Physical Therapist Past Accepting new patients

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1184985756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720586",
            "telephone_number": "631-325-3400",
            "fax_number": "631-325-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MONTAUK HIGHWAY",
            "address_2": "STORE 12 & 13",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720586",
            "telephone_number": "631-325-3400",
            "fax_number": "631-325-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFRANCESCO",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014675-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Speonk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.