Individual provider Active NPI

Mary E Larkin, PT

  • Physical Therapist
  • Seaford, NY
National Provider Identifier
1407802630
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25529 Issued in NY
Practice address
3839 Merrick Rd
Seaford, NY 11783-2839
Phone
(516) 802-2895
Fax
(516) 802-2897
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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 25529 NY Primary

Addresses

Primary practice location

3839 Merrick Rd
Seaford, NY 11783-2839

Mailing address

3839 Merrick Rd
Seaford, NY 11783-2839
Phone (516) 802-2895

Other identifiers 1

IdentifierTypeStateIssuer
Q14D5Q4FH1OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215001066 NY Practitioner - Physical Therapist in Private Practice 0042277592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fahrenheit Physical Therapy PCGroup PAC ID 4587712492, 2 clinicians

Practice addresses (Care Compare)

38 Harbor Park Dr
Port Washington, NY 11050-4602
Phone (516) 441-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25529NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fahrenheit Physical Therapy PC CurrentSince Feb 1, 2015 Accepting new patients
Fahrenheit Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients
All-Star Physical Therapy,PC Physical Therapist PastSince Dec 26, 2018 Accepting new patients
All-Star Physcial Therapy of Seaford P.C. Past Accepting new patients

Locations

38 Harbor Park Dr
Prt Washingtn, NY 11050
Phone (516) 441-5440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1407802630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832839",
            "telephone_number": "516-802-2895",
            "fax_number": "516-802-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832839",
            "telephone_number": "516-802-2895",
            "fax_number": "516-802-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "25529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q14D5Q4FH1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.