Active NPI
Marie Grace Bautista Besido, TDPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032419
- Practice address
- 2133 Ralph Ave
Brooklyn, NY 11234-5405 - Phone
- (718) 451-1400
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032419 | NY | Primary |
Addresses
Primary practice location
2133 Ralph Ave
Brooklyn, NY 11234-5405
Mailing address
6910 Avenue U
Apt 4P
Brooklyn, NY 11234-6119
Phone (718) 840-8170
Other names 1
- Marie Grace Besido Aliggayu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hanson PL
Suite 401
Brooklyn, NY 11243-2907
Phone (718) 230-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032419 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
900 Route 9 N
Ste 410
Woodbridge, NJ 07095
2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400
9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631
31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1285182113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 AVENUE U",
"address_2": "APT 4P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346119",
"telephone_number": "718-840-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345405",
"telephone_number": "718-451-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESIDO",
"first_name": "MARIE GRACE",
"middle_name": "BAUTISTA",
"credential": "TDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE GRACE",
"last_name": "ALIGGAYU",
"middle_name": "BESIDO",
"credential": "TDPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.