Individual provider Active NPI

Nicole Caroline Juray, DPT

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1467896837
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036093-1 Issued in NY
Practice address
111 Grand Ave
Massapequa, NY 11758-4905
Phone
(516) 798-3789
Fax
(516) 798-3589
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 036093-1 NY Primary

Addresses

Primary practice location

111 Grand Ave
Massapequa, NY 11758-4905

Mailing address

76 Lea Ann Ter
Wantagh, NY 11793-2123
Phone (516) 849-3240

Other practice location 1

650 Wantagh Ave Ste 2
Levittown, NY 11756-5390
Phone (516) 520-7200

Other practice location 2

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 798-3789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000229 NY Practitioner - Physical Therapist in Private Practice 8022250786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond N Cecora PT PCGroup PAC ID 6002889946, 10 clinicians

Practice addresses (Care Compare)

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 798-3789

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036093-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 6, 2025 Accepting new patients
Raymond N Cecora PT PC Physical Therapist CurrentSince Jul 12, 2023 Accepting new patients

Locations

111 Grand Ave
Massapequa, NY 11758
Phone (516) 798-2635

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1467896837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LEA ANN TER",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932123",
            "telephone_number": "516-849-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584905",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Wantagh Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "117565390",
            "country_code": "US",
            "telephone_number": "516-520-7200",
            "fax_number": "516-520-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117586231",
            "country_code": "US",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURAY",
        "first_name": "NICOLE",
        "middle_name": "CAROLINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.