Organization Active NPI

MC Care Physical Therapy PC

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1417455379
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032155 Issued in NY
Legal business name
MC CARE PHYSICAL THERAPY PC
Practice address
14916 Jamaica Ave
Jamaica, NY 11435-4038
Phone
(718) 291-3888
Fax
(718) 291-4888
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Cartabio
Title
PT
Phone
(718) 291-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 032155 NY Primary

Addresses

Primary practice location

14916 Jamaica Ave
Jamaica, NY 11435-4038

Mailing address

14916 Jamaica Ave
Jamaica, NY 11435-4038
Phone (718) 291-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327000228 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800158197 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1417455379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14916 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354038",
            "telephone_number": "718-291-3888",
            "fax_number": "718-291-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14916 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354038",
            "telephone_number": "718-291-3888",
            "fax_number": "718-291-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "CARTABIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-291-3888"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.

Verify at the official NPI Registry.