Brian V. Becker M.a.P.T.PLLC
Organization Active NPI Physical Therapist · Babylon, NY
NPI 1295824027 · NPPES record last updated Jul 29, 2011
Key facts
- NPI
- 1295824027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BRIAN V. BECKER M.A.P.T.PLLC
- Practice address
- 41 John St
Babylon, NY 11702-2932 - Phone
- (631) 321-1100
- Fax
- (631) 321-1761
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jill A Szuflada
- Title
- Administrative Assistant
- Phone
- (631) 588-2100
Practitioners 22
-
Stephen Daniel Cicalese, P.T.
-
Gregory Bret Neilsen, MPT
-
Alexa Rae Ardito, RDN
-
Lianne Budd, MS, RD, CDN
-
Sarah Ashley Clinton, PHD, MS, RDN
-
Mary Louise Lea, RD CDN
-
Christina Lombardi, MS, RD
-
Chelsea E Magro, MS, RD, CSG
-
Melissa Ayn Reade, MS, CNS
-
Amanda Jacqueline Reichardt, MS RDN CDN CPT
-
Samantha Marie Smith, RDN
-
Allison Soldano, RD
-
Steven Ryan Surico, MS, RD, CDN
-
Ashley Ann Vadasz, RDN
-
Frank J Valente, DC
-
Samantha Vallejo, RDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110907001175 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2264321256 |
Receives reassigned benefits from 4 practitioners Practice locations: West Islip, NY; Lake Ronkon Koma, NY; Babylon, NY; North Babylon, NY |
National Provider Directory
Locations
500 Portion Rd
Ste 5
Ronkonkoma, NY 11779
Phone (631) 588-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
41 John St
Babylon, NY 11702-2932
Mailing address
500 Portion Rd
Lake Ronkonkoma, NY 11779-4587
Phone (631) 588-2100
Other names
- Excel Rehabilitation and Sports Therapy
Other providers in Babylon, NY
- Mary Boghosian
- Christine Bonczek
- Diane Botto
- Elaine Bouras
- James Ernest Bozinos
- Brightman'S Registry Inc
- Charles P Brogan
- Donna M. Brown
- Stephanie Buonomo
- Patricia Burbige
All providers in Babylon, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.