Active NPI
Maria Morcilla, DPT
- Physical Therapist
- Woodside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030029
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 030029-1 | NY | MD | Physical Therapist |
| 030029 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Care Physical Therapy LLC | Current | Accepting new patients | |
| Priority One Therapy PT OT SLP PLLC | Current | Accepting new patients | |
| Resilient Care Physical Therapy, PC | Physical Therapist | Current | 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.
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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.