Individual provider Active NPI

Valentin Dajdea, PT,MS,DPT

  • Physical Therapist
  • Glen Cove, NY
National Provider Identifier
1194737213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024049-1 Issued in NY
Practice address
4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone
(516) 671-6161
Fax
(516) 674-0396
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 024049-1 NY Primary

Addresses

Primary practice location

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749

Mailing address

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone (516) 671-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000718 NY Practitioner - Physical Therapist in Private Practice 7113018037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Boundary Ave
Suite 300
Massapequa, NY 11758-1152
Phone (516) 249-3760

415 Crossways Park Dr
Suite E
Woodbury, NY 11797-2055
Phone (516) 838-8400

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as individual
Quality
92.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
024049-1NYMDPhysical Therapist
024049NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jun 14, 2010 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Jun 14, 2010 Accepting new patients
Island Sports Physical Therapy of Glen Cove PC Physical Therapist PastSince Aug 23, 2001 Accepting new patients
Island Sports Physiotherapy, PC Past Accepting new patients

Locations

200 Boundary Ave
Ste 300
Massapequa, NY 11758
Phone (516) 249-3760

1983 Marcus Ave
Ste 119
New Hyde Park, NY 11042
Phone (516) 321-7526

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

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, 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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJDEA",
        "first_name": "VALENTIN",
        "credential": "PT,MS,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024049-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.