Individual provider Active NPI

Deborah A Lenihan, PT

  • Physical Therapist
  • Jefferson Valley, NY
National Provider Identifier
1265402796
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0054251 Issued in NY
Practice address
600 Bank Rd
Jefferson Valley, NY 10535-1511
Phone
(914) 245-8807
Fax
(914) 245-9015
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 0054251 NY Primary

Addresses

Primary practice location

600 Bank Rd
Jefferson Valley, NY 10535-1511

Mailing address

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000519 NY Practitioner - Physical Therapist in Private Practice 4486635232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1825 Commerce St
Suite 1
Yorktown Heights, NY 10598-4432
Phone (914) 302-9160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0054251NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Physical Therapy at Briarcliff and Jefferson Valley PC Physical Therapist Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

16 Maybrook Rd
Ste E
Campbell Hall, NY 10916

2050 E Main St
Ste 4
Cortlandt Mnr, NY 10567
Phone (914) 736-9502

14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808

1825 Commerce St
#1
Yorktown Heights, NY 10598
Phone (914) 302-9160

Networks

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

Organizations & group practices 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1265402796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 VETERANS MEMORIAL HWY",
            "address_2": "STE 202",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797639",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BANK RD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351511",
            "telephone_number": "914-245-8807",
            "fax_number": "914-245-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIHAN",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0054251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.