Individual provider Active NPI

Tatiana Malkina, DPT

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1235560384
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037205-1 Issued in NY
Practice address
814 Fulton St
Suite B
Farmingdale, NY 11735-3638
Phone
(516) 420-1927
Fax
(516) 420-1952
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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 037205-1 NY Primary

Addresses

Primary practice location

814 Fulton St
Suite B
Farmingdale, NY 11735-3638

Mailing address

814 Fulton St
Suite B
Farmingdale, NY 11735-3638
Phone (516) 420-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313000506 NY Practitioner - Physical Therapist in Private Practice 5294051033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 621-1170

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037205NYMDOrthodontics and Dentofacial Orthopedic Dentist
037205-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
True North Medical Group PC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jun 1, 2019 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

Organizations & group practices 5

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1235560384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "address_2": "SUITE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "address_2": "SUITE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKINA",
        "first_name": "TATIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037205-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.