George Ciresi III, D.P.T.
Individual provider Active NPI Specialist · East Patchogue, NY
NPI 1366484651 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1366484651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 025766-1 (NY)
- Practice address
- 191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899 - Phone
- (631) 775-0971
- Fax
- (631) 475-0975
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Care Physical Therapy and Rehabilitation P.C
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081022000398 | NY | Practitioner - Physical Therapist in Private Practice | 5395803233 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 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 P.C | Current |
Accepting new patients | |
| Professional Care Physical Therapy and Rehabilitation | Current | Accepting new patients | |
| Bienetre Medical PC | Current |
Accepting new patients |
Locations
285 Sills Rd
Bldg 10D
East Patchogue, NY 11772
Phone (631) 438-0777
191 Patchogue Yaphank Rd
East Patchogue, NY 11772
Phone (631) 775-0971
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025766-1 | NY | Yes |
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
Other providers in East Patchogue, NY
- Joel Myladoor Chandy
- Pierre Wisly Charles
- Robert M Chernaik
- Peter Chiu
- Christopher Joubert DDS PC
- Fabiola Civil
- Erin M Clancy
- CM Blaine MD PLLC
- Cogent Medical Care PC
- Richard E Collins
All providers in East Patchogue, NY · Specialist 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 Nov 27, 2019. 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.