Active NPI
George Ciresi III, D.P.T.
- Specialist
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 025766-1
- Practice address
- 191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899 - Phone
- (631) 775-0971
- Fax
- (631) 475-0975
- NPI assigned
- Jun 12, 2006
- Last updated
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025766-1 | NY | Primary |
Addresses
Primary practice location
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Mailing address
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025766 | NY | MD | Specialist |
| 025766-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Occupational Therapy and Physical Therapy, PLLC | Current | Accepting new patients | |
| Professional Care Physical Therapy and Rehabilitation | Current | Accepting new patients | |
| Bienetre Medical PC | Current | Accepting new patients | |
| Professional Care Physical Therapy and Rehabilitation P.C | Current | Accepting new patients |
Locations
191 Patchogue Yaphank Rd
East Patchogue, NY 11772
Phone (631) 775-0971
285 Sills Rd
Bldg 10D
East Patchogue, NY 11772
Phone (631) 438-0777
159 Islip Ave
Islip, NY 11751
Phone (631) 650-6347
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
518 E Main St
Ste 100
Riverhead, NY 11901
Phone (631) 591-0838
3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560
55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775
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.
-
- Physical Therapist
- East Patchogue, NY
- NPI 1659518157
-
- Occupational Therapist
- East Patchogue, NY
- NPI 1033677612
-
- Rehabilitation Hospital Unit
- East Patchogue, NY
- NPI 1093105645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1366484651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 PATCHOGUE YAPHANK RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724899",
"telephone_number": "631-775-0971",
"fax_number": "631-475-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PATCHOGUE YAPHANK RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724899",
"telephone_number": "631-775-0971",
"fax_number": "631-475-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRESI",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "025766-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.