Active NPI
Maria Fatima Ferreira
- Pediatric Physical Therapist
- Port Jefferson Station, NY
National Provider Identifier
1235409442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 015433
- Practice address
- 120 Norwood Ave
Port Jefferson Station, NY 11776-2547 - Phone
- (631) 512-2237
- NPI assigned
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 015433 | NY | Primary |
Addresses
Primary practice location
120 Norwood Ave
Port Jefferson Station, NY 11776-2547
Mailing address
120 Norwood Ave
Port Jefferson Station, NY 11776-2547
Phone (631) 512-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912002700 | NY | Practitioner - Physical Therapist in Private Practice | 7113290206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optimum Therapeutics PT and OT PLLC
Practice addresses (Care Compare)
1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015433 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Therapeutics PT & OT PLLC | Pediatrics | Current | Accepting new patients |
| Propel Physical Therapy PC | Pediatrics | Past | Accepting new patients |
Locations
1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010
Organizations & group practices 2
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": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1235409442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NORWOOD AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762547",
"telephone_number": "631-512-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NORWOOD AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762547",
"telephone_number": "631-512-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA",
"first_name": "MARIA",
"middle_name": "FATIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "015433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.