Individual provider Active NPI

Susan Collura Schiliro, DPT CHT

  • Hand Physical Therapist
  • Rego Park, NY
National Provider Identifier
1215042486
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
PT006340 Issued in NY
Practice address
9932 66TH Rd
Suite Le
Rego Park, NY 11374-4462
Phone
(718) 544-1937
Fax
(718) 544-0112
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X PT006340 NY Primary

Addresses

Primary practice location

9932 66TH Rd
Suite Le
Rego Park, NY 11374-4462

Mailing address

9932 66TH Rd
Suite Le
Rego Park, NY 11374-4462
Phone (718) 544-1937

Other identifiers 2

IdentifierTypeStateIssuer
0700920001OtherNYDMERC REG A
Q63081OtherNYBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090528000399 NY Practitioner - Physical Therapist in Private Practice 6002965720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

11835 Queens Blvd
Suite 1550
Forest Hills, NY 11375-7215
Phone (718) 544-5730

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0063401NYMDPhysical Therapist
PT006340NYMDHand Physical Therapist
006340NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 10, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Apr 10, 2023 Accepting new patients
Ny Gastroenterology & Liver Disease PC PastSince Oct 1, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

11835 Queens Blvd
Ste 1550
Forest Hills, NY 11375
Phone (718) 544-5730

9932 66th Rd
Ste Le
Rego Park, NY 11374
Phone (718) 544-1937

9952 66th Rd
Rego Park, NY 11374
Phone (718) 544-1937

9952 66th Rd
Ste Ld
Rego Park, NY 11374
Phone (718) 344-1937

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1215042486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 66TH RD",
            "address_2": "SUITE LE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744462",
            "telephone_number": "718-544-1937",
            "fax_number": "718-544-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 66TH RD",
            "address_2": "SUITE LE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744462",
            "telephone_number": "718-544-1937",
            "fax_number": "718-544-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILIRO",
        "first_name": "SUSAN",
        "middle_name": "COLLURA",
        "name_prefix": "Dr.",
        "credential": "DPT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NY",
            "license": "PT006340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REG A",
            "identifier": "0700920001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q63081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.