Halley Mark Bejo Bactol

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046532 Issued in NY

Practice address

229 E 21St St
New York, NY 10010-6433

Phone

(212) 473-3703

NPI assigned

Dec 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Physical Therapist

  NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1376148767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 183RD ST FL 2ND",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652114",
            "telephone_number": "458-225-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E 21ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106433",
            "telephone_number": "212-473-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACTOL",
        "first_name": "HALLEY MARK",
        "middle_name": "BEJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Baclit
• Kathleen Bacon-Greenberg, PHD
• Joshua Bacon, PHD
• Miriam P Bacon, PT, DPT
• Terri Landon Bacow, PH.D.
• Janeth Bacus, PT
• Bad Noodle, LLC
• Lyric J Bada
• Olga Bada
• Rosalinda Badajos

• Physical Therapist in New York, NY
• Providers in New York, 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 Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.