Active NPI
Maria Luisa Ybanez, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1417268129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023614-1
- Practice address
- 184 Jamie LN
Staten Island, NY 10312-6614 - Phone
- (646) 403-0510
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- 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 | 023614-1 | NY | Primary |
Addresses
Primary practice location
184 Jamie LN
Staten Island, NY 10312-6614
Mailing address
112 Bidwell Ave
Staten Island, NY 10314-3177
Phone (718) 637-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023614-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1417268129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BIDWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143177",
"telephone_number": "718-637-4603",
"fax_number": "718-448-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 JAMIE LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126614",
"telephone_number": "646-403-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBANEZ",
"first_name": "MARIA LUISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023614-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.