Individual provider Active NPI

Vaysa Alipio

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1235522095
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038663 Issued in NY
Practice address
4006A Warren St
Elmhurst, NY 11373-1735
Phone
(718) 532-4049
Fax
(718) 425-0497
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 038663 NY Primary

Addresses

Primary practice location

4006A Warren St
Elmhurst, NY 11373-1735

Mailing address

401 N Corona Ave # 2F
Valley Stream, NY 11580-2622
Phone (702) 335-2847

Other practice location 1

4011 Warren St Ste 2
Elmhurst, NY 11373
Phone (718) 898-1015

Other practice location 2

1725 E 12th St Fl 2
Brooklyn, NY 11229-1028
Phone (718) 532-4474

Other practice location 3

4011 Warren St Ste 2
Elmhurst, NY 11373
Phone (718) 898-1015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006322 NY Practitioner - Physical Therapist in Private Practice 6002121183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4006 A Warren St
Elmhurst, NY 11373-1735
Phone (718) 532-4049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038663NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roadside Physical Therapy PC of Nevada Physical Therapist Current Accepting new patients

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1235522095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CORONA AVE # 2F",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802622",
            "telephone_number": "702-335-2847",
            "fax_number": "718-425-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006A WARREN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731735",
            "telephone_number": "718-532-4049",
            "fax_number": "718-425-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Warren St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-898-1015",
            "fax_number": "718-425-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 E 12th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291028",
            "country_code": "US",
            "telephone_number": "718-532-4474",
            "fax_number": "718-425-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Warren St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-898-1015",
            "fax_number": "718-425-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIPIO",
        "first_name": "VAYSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.