Individual provider Active NPI

Jennifer Auleta, PT

  • Physical Therapist
  • North Bellmore, NY
National Provider Identifier
1396074761
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032046 Issued in NY
Practice address
111 Thomas PL
North Bellmore, NY 11710-2807
Phone
(516) 314-6984
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032046 NY Primary

Addresses

Primary practice location

111 Thomas PL
North Bellmore, NY 11710-2807

Mailing address

111 Thomas PL
North Bellmore, NY 11710-2807
Phone (516) 314-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000351 NY Practitioner - Physical Therapist in Private Practice 4587846530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032046NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Sports Physical Therapy, PLLC CurrentSince May 1, 2024 Accepting new patients
Jennifer Auleta Physical Therapy P.C. CurrentSince Sep 21, 2011 Accepting new patients
PS Physical Therapy Past Accepting new patients
Jennifer Auleta Inc Past Accepting new patients
Platinum Physical Therapy Services LLC Physical Therapist Past Accepting new patients

Locations

234 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 477-8003

234 Crossways Park Dr
Ste 2
Woodbury, NY 11797

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1396074761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 THOMAS PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102807",
            "telephone_number": "516-314-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 THOMAS PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102807",
            "telephone_number": "516-314-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULETA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.