Individual provider Active NPI

Irene C Gregov, P.T.

  • Physical Therapist
  • Bellerose Village, NY
National Provider Identifier
1467592543
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6486 Issued in NY
Practice address
17 Hudson Rd
Bellerose Village, NY 11001-4104
Phone
(516) 849-9254
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 6486 NY Primary

Addresses

Primary practice location

17 Hudson Rd
Bellerose Village, NY 11001-4104

Mailing address

17 Hudson Rd
Bellerose Village, NY 11001-4104
Phone (516) 849-9254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326001206 NY Practitioner - Physical Therapist in Private Practice 7719249069 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone 5167397733420

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6486NYMDAddiction (Substance Use Disorder) Counselor
006486NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Global SLP OT PT & Psychological Services, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Feb 13, 2020 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Nov 1, 2018 Accepting new patients
Epic Medical Services PC CurrentSince Feb 7, 2018 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Feb 7, 2018 Accepting new patients
Epic Long Island CurrentSince Feb 7, 2018 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1467592543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HUDSON RD",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014104",
            "telephone_number": "516-849-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HUDSON RD",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014104",
            "telephone_number": "516-849-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOV",
        "first_name": "IRENE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.