Individual provider Active NPI

Caryl Luisa Tabada Rasco

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1235445032
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31132 Issued in NY
Practice address
7217 18TH Ave
Brooklyn, NY 11204-5634
Phone
(718) 837-7581
Fax
(347) 713-3809
NPI assigned
Aug 31, 2010
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 31132 NY Primary

Addresses

Primary practice location

7217 18TH Ave
Brooklyn, NY 11204-5634

Mailing address

7217 18TH Ave
Brooklyn, NY 11204-5634
Phone (718) 837-7581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000231 NY Practitioner - Physical Therapist in Private Practice 7214188630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7804 17TH Ave
Brooklyn, NY 11214-1604
Phone (718) 837-7581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31132NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Physical Therapy and Acupuncture PLLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
Dynamic Wellness Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Mission Rehab PT PC Physical Therapist PastSince Sep 19, 2011 Accepting new patients

Locations

1508 Avenue U
Brooklyn, NY 11229
Phone (347) 673-8000

7217 18th Ave
Brooklyn, NY 11204
Phone (646) 510-4520

7804 17th Ave
Brooklyn, NY 11214
Phone (646) 510-4520

849 57th St
Ste 8
Brooklyn, NY 11220
Phone (718) 576-6882

Networks

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

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1235445032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045634",
            "telephone_number": "718-837-7581",
            "fax_number": "347-713-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045634",
            "telephone_number": "718-837-7581",
            "fax_number": "347-713-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCO",
        "first_name": "CARYL LUISA",
        "middle_name": "TABADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "31132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.