Individual provider Active NPI

Mae Doll Rana

  • Physical Therapy Clinic/Center
  • Bronx, NY
National Provider Identifier
1407561921
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
043486 Issued in NY
Practice address
1201 Van Nest Ave
Bronx, NY 10461-1913
Phone
(917) 821-3480
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 043486 NY Primary

Addresses

Primary practice location

1201 Van Nest Ave
Bronx, NY 10461-1913

Mailing address

1201 Van Nest Ave
Bronx, NY 10461-1913
Phone (917) 821-3480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220002134 NY Practitioner - Physical Therapist in Private Practice 5193197101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043486NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC Physical Therapy CurrentSince Mar 27, 2023 Accepting new patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapy CurrentSince Feb 1, 2023 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapy CurrentSince Jun 15, 2023 Accepting new patients

Locations

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Organizations & group practices 3

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1407561921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 VAN NEST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611913",
            "telephone_number": "917-821-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 VAN NEST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611913",
            "telephone_number": "917-821-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "MAE DOLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "043486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.