Maria Lorena Bolanos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026185 Issued in NY

Practice address

2753 Coney Island Ave
Brooklyn, NY 11235-5015

Phone

(718) 769-8400

Fax

(718) 769-3255

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Maria Lorena Albaitero Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy of NaplesGroup PAC ID 8820072101, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy of Naples

  • Physical Therapist
  • Naples, FL
  • NPI 1144337452
  Medicare reassignment Care Compare group NPD
• Aqua Health Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1326060567
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316965189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355015",
            "telephone_number": "718-769-8400",
            "fax_number": "718-769-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355015",
            "telephone_number": "718-769-8400",
            "fax_number": "718-769-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "MARIA",
        "middle_name": "LORENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02729591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ALBAITERO",
            "middle_name": "LORENA",
            "prefix": "MISS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Moriam T Bolaji
• Oladapo Bolaji, MD
• Bridgid M Boland
• Kathryn Boland, LCSW
• Rochelle Frieda Boland, LCSW
• Dorcas Bolarinwa
• Victoria Bolbirer, O.D.
• India Bolden Maisonet
• Candace Bolden-Miller
• Christopher Bolden

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.