Christine Bonczek, P.T.
Individual provider Active NPI Physical Therapist · Babylon, NY
NPI 1225335342 · NPPES record last updated Feb 25, 2011
Key facts
- NPI
- 1225335342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 011498 DUP (NY)
- Practice address
- 20 Bacon LN
Babylon, NY 11702-2402 - Phone
- (631) 893-3187
- NPI assigned
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epic Medical Services PC
Practice addresses (Care Compare)
1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116000335 | NY | Practitioner - Physical Therapist in Private Practice | 8022397058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011498 | NY | MD | Chiropractor |
| 011498 DUP | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Medical Services PC | Current |
Accepting new patients |
Locations
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011498 DUP | NY | Yes |
Addresses
Primary practice location
20 Bacon LN
Babylon, NY 11702-2402
Mailing address
20 Bacon LN
Babylon, NY 11702-2402
Phone (631) 893-3187
Other providers in Babylon, NY
- Sophia-Jo Blauvelt
- Bloom Flourish Mental Health Counseling, PLLC
- Blumenthal and Rogers DDS, PC
- Suchitha Bodapati
- Mary Boghosian
- Diane Botto
- Elaine Bouras
- James Ernest Bozinos
- Brian V. Becker M.a.P.T.PLLC
- Brightman'S Registry Inc
All providers in Babylon, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.