Individual provider Active NPI

Maria Morcilla, DPT

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1316262553
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030029 Issued in NY
Practice address
57-18 Woodside Ave.
Ste. B102, Basement Level
Woodside, NY 11377
Phone
(718) 426-7900
Fax
(718) 426-7500
NPI assigned
Mar 31, 2010
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030029 NY Primary
Physical Therapist 225100000X 030029-1 NY

Addresses

Primary practice location

57-18 Woodside Ave.
Ste. B102, Basement Level
Woodside, NY 11377

Mailing address

57-18 Woodside Ave.
Ste. B102, Basement Level
Woodside, NY 11377
Phone (718) 426-7900

Other practice location 1

4215 Broadway
Astoria, NY 11103-2705
Phone (929) 424-4697

Other names 1

  • Maria Clarissa Rayoso Morcilla Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317002056 NY Practitioner - Physical Therapist in Private Practice 1153648852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5718 Woodside Ave
B012
Woodside, NY 11377-3415
Phone (718) 426-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030029-1NYMDPhysical Therapist
030029NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Care Physical Therapy LLC Current Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Mar 1, 2022 Accepting new patients
Resilient Care Physical Therapy, PC Physical Therapist CurrentSince Oct 27, 2014 Accepting new patients
Resilient Ortho Care, Inc Current Accepting new patients

Locations

3622 Parsons Blvd
#1
Flushing, NY 11354

4215 Broadway
Long Is City, NY 11103
Phone (718) 908-8884

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

5718 Woodside Ave
#B12
Woodside, NY 11377
Phone (718) 426-7900

5718 Woodside Ave
Ste B102
Woodside, NY 11377
Phone (718) 426-7900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1316262553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57-18 WOODSIDE AVE.",
            "address_2": "STE. B102, BASEMENT LEVEL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-426-7900",
            "fax_number": "718-426-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57-18 WOODSIDE AVE.",
            "address_2": "STE. B102, BASEMENT LEVEL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-426-7900",
            "fax_number": "718-426-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Broadway",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111032705",
            "country_code": "US",
            "telephone_number": "929-424-4697",
            "fax_number": "929-424-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORCILLA",
        "first_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030029",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030029-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MORCILLA",
            "middle_name": "CLARISSA RAYOSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.