Active NPI
Aileen Bikles, DPT, PT
- Physical Therapist
- Garden City, NY
National Provider Identifier
1417287756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0280111
- Practice address
- Liberty Rehabilitation & Wellness
520 Franklin Ave Ste L9
Garden City, NY 11530-5813 - Phone
- (516) 280-6600
- Fax
- (516) 280-6604
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 0280111 | NY | Primary |
Addresses
Primary practice location
Liberty Rehabilitation & Wellness
520 Franklin Ave Ste L9
Garden City, NY 11530-5813
Mailing address
520 Franklin Ave Ste L9
Garden City, NY 11530-5813
Phone (516) 280-6600
Other practice location 1
460 Grand St
New York, NY 10002-4058
Phone (212) 566-8855
Other names 1
- Aileen Recuenco Virola
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 |
|---|---|---|---|
| 0280111 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417287756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 FRANKLIN AVE STE L9",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305813",
"telephone_number": "516-280-6600",
"fax_number": "616-280-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIBERTY REHABILITATION & WELLNESS",
"address_2": "520 FRANKLIN AVE STE L9",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305813",
"telephone_number": "516-280-6600",
"fax_number": "516-280-6604"
}
],
"practiceLocations": [
{
"address_1": "460 Grand St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100024058",
"country_code": "US",
"telephone_number": "212-566-8855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIKLES",
"first_name": "AILEEN",
"name_prefix": "Mrs.",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0280111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AILEEN",
"last_name": "VIROLA",
"middle_name": "RECUENCO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.