Erica Lee Riedel, MS, PT, CERT MDT

Primary specialty

SpecialistTaxonomy code 174400000X

License

020531 Issued in NY

Practice address

44 Broadway
Lynbrook, NY 11563-2519

Phone

(516) 599-8734

Fax

(516) 599-5969

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Erica Lee Hananel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Southern Nassau Physical Therapy P C

  dba Peak Performance Physical Therapy

  • Specialist
  • Lynbrook, NY
  • NPI 1023164142
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1265508675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "ERICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS, PT, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "020531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "HANANEL",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "MS, PT, CERT. MDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Responsible DME, Inc.
• Angelica Restrepo
• Chelsea Reyes, LMHC
• Georgette Rich, LCSW
• Alexander Field Richard, M.S.ED.
• Yasmin Rivera-Nunez, ANP
• Rhonda Roberson, LPN
• Mark Francis Roberts
• Rockaway Scripts RX Inc.
• David Robinson Rodriguez, M.D.

• Specialist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.