George Leandro Medrano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024861 Issued in NY

Practice address

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Phone

(516) 829-0030

Fax

(516) 466-7723

NPI assigned

Sep 14, 2006

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians

Optimized Independence OT PLLCGroup PAC ID 4183996390, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimized Independence OT PLLC

  • Occupational Therapist
  • Roslyn, NY
  • NPI 1093235707

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• At Your Doorstep OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1073371902

  Physical Therapist

  Medicare reassignment NPD
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• New York Physical and Occupational Therapy Services, PLLC

  dba New York Therapy And Wellness

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Priority One Therapy PT OT SLP PLLC

  dba @Home Therapy

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097

  Physical Therapist

  Medicare reassignment NPD
• Beacon Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
  • NPI 1619512316
  NPD Authorized official
• In Home Physical Therapy PLLC

  • Specialist
  • Deer Park, NY
  • NPI 1336895721
  NPD
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220
  NPD
• Ez Medhealth Care PC

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
  • NPI 1245347301
  NPD (past)
• Reddy Care Physical and Occupational Therapy PLLC

  • Specialist
  • Great Neck, NY
  • NPI 1477052967

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447355250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 27",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 20 Queens Blvd",
            "address_2": "EZ Medhealth Care PC",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "11375",
            "country_code": "US",
            "telephone_number": "718-730-0100",
            "fax_number": "718-730-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "GEORGE",
        "middle_name": "LEANDRO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Christine Meade, BCBA
• Medi Xpress RX Inc
• Medical Care of Great Neck PC
• Medical Services of Kips Bay PC
• Medical Services of Kips Bay PC
• Tahity A Mehera
• Sonia Mehra, MD
• Mehri Songhorian MD PC
• Mehri Songhorian Medical PC
• Ashesh Dinesh Mehta, MD

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.