Individual provider Active NPI

Elizabeth Ann Simoes, MSPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1265678916
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028751 Issued in NY
Practice address
115 E 57TH St
Suite #1460
New York, NY 10022-2049
Phone
(212) 486-0888
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 028751 NY Primary

Addresses

Primary practice location

115 E 57TH St
Suite #1460
New York, NY 10022-2049

Mailing address

115 E 57TH St
Suite #1460
New York, NY 10022-2049
Phone (212) 486-0888

Other names 1

  • Ms. Elizabeth Ann Renaghan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240527000239 NY Practitioner - Physical Therapist in Private Practice 2668814344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In Touch Nyc Physical Therapy PCGroup PAC ID 4183881196, 3 clinicians

Practice addresses (Care Compare)

113 /2 E 62ND St
New York, NY 10065-7301
Phone (212) 288-2988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028751NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
In Touch Nyc Physical Therapy PC Physical Therapist CurrentSince Apr 17, 2024 Accepting new patients
P.T. and Pilates Inc. Past Accepting new patients
Midtown East Family Medicine PLLC PastSince Apr 11, 2016 Accepting new patients

Locations

162 W 56th St
Ste 302
New York, NY 10019
Phone (212) 288-2988

113 E 62nd St
New York, NY 10065
Phone (212) 288-2988

82 Nassau St
New York, NY 10038
Phone (347) 625-3993

Organizations & group practices 3

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1265678916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE #1460",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-486-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE #1460",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-486-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOES",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RENAGHAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.