Paloma S Carrillo-Islas, PT,DPT
Individual provider Active NPI Physical Therapist · Franklin Square, NY
NPI 1316665607 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1316665607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 049398 (NY)
- Practice address
- 925 Hempstead Tpke Ste 310
Franklin Square, NY 11010-3641 - Phone
- (516) 354-3980
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
Practice addresses (Care Compare)
9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.16 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 78.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011000374 | NY | Practitioner - Physical Therapist in Private Practice | 4688050958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current |
Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current |
Accepting new patients |
Locations
925 Hempstead Tpke
Ste 310
Franklin Square, NY 11010
Phone (516) 354-3980
3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049398 | NY | Yes |
Addresses
Primary practice location
925 Hempstead Tpke Ste 310
Franklin Square, NY 11010-3641
Mailing address
3 Huntington Quadrangle Ste 103N
Melville, NY 11747-4601
Phone (516) 474-2816
Other providers in Franklin Square, NY
- Kiara Marie Campoverde
- Fernanda Cantor
- Mary Eileen Canzoneri
- Jenna Carbonara
- Naelyn Del Carmen Carrasco
- Cas Medical Transport LLC
- Luis F Casas
- Lynn M Cecere
- Michelle Ann Cenatiempo
- Stephen Cerckia
All providers in Franklin Square, 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 Aug 30, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.