Individual provider Active NPI

Aileen Bikles, DPT, PT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1417287756
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0280111 Issued in NY
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

Updated by the provider on Mar 17, 2018

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 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 Former name

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

LicenseStateTypeSpecialty
0280111NYMDPhysical 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.

Verify at the official NPI Registry.