Individual provider Active NPI

Josephine Bardabelias, P.T.

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1245533173
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010050-1 Issued in NY
Practice address
105 Clover Dr
Pupil Personnel Services- Great Neck Public Schools
Great Neck, NY 11021-1031
Phone
(516) 441-4970
Fax
(516) 441-4270
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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 010050-1 NY Primary

Addresses

Primary practice location

105 Clover Dr
Pupil Personnel Services- Great Neck Public Schools
Great Neck, NY 11021-1031

Mailing address

105 Clover Dr
Pupil Personnel Services- Great Neck Public Schools
Great Neck, NY 11021-1031
Phone (516) 441-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010050-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Physical Therapy Inc Physical Therapist PastSince Aug 25, 2022 Accepting new patients

Organizations & group practices 1

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1245533173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLOVER DR",
            "address_2": "PUPIL PERSONNEL SERVICES- GREAT NECK PUBLIC SCHOOLS",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211031",
            "telephone_number": "516-441-4970",
            "fax_number": "516-441-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLOVER DR",
            "address_2": "PUPIL PERSONNEL SERVICES- GREAT NECK PUBLIC SCHOOLS",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211031",
            "telephone_number": "516-441-4970",
            "fax_number": "516-441-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDABELIAS",
        "first_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010050-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.