Active NPI
Ericson Navarro, P.T.
- Physical Therapist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023712
- Practice address
- 103 Terrace Blvd
New Hyde Park, NY 11040-4330 - Phone
- (347) 819-1531
- Fax
- (718) 504-6464
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023712 | NY | Primary |
Addresses
Primary practice location
103 Terrace Blvd
New Hyde Park, NY 11040-4330
Mailing address
103 Terrace Blvd
New Hyde Park, NY 11040-4330
Phone (347) 819-1531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11615203 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Skilled Care PT OT Services | Physical Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
482 Uniondale Ave
Uniondale, NY 11553
Phone (516) 485-0220
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.
-
- Physical Therapist
- New Hyde Park, NY
- NPI 1992391148
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Rehabilitation Clinic/Center
- Uniondale, NY
- NPI 1528883147
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1407863350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 TERRACE BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404330",
"telephone_number": "347-819-1531",
"fax_number": "718-504-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 TERRACE BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404330",
"telephone_number": "347-819-1531",
"fax_number": "718-504-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "ERICSON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11615203",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.