Individual provider Active NPI

Maria Leslie Bellaflor, PT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1487166278
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019658-1 Issued in NY
Practice address
7136 110TH St Apt 1L
Forest Hills, NY 11375-4860
Phone
(347) 480-5518
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019183 NY
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 019658-1 NY Primary

Addresses

Primary practice location

7136 110TH St Apt 1L
Forest Hills, NY 11375-4860

Mailing address

6254 97TH PL Apt 6O
Rego Park, NY 11374-1353
Phone (347) 804-8895

Other practice location 1

6254 97th Pl Apt 6O
Rego Park, NY 11374-1353
Phone (347) 804-8895

Other identifiers 1

IdentifierTypeStateIssuer
1538472881OtherNYNPI

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
019658-1NYMDPsychologist
019183NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maroven Physical Therapy LLC Single Specialty CurrentSince Sep 21, 2024 Accepting new patients

Locations

9229 Queens Blvd
Ste 1E
Rego Park, NY 11374
Phone (317) 480-5516

Organizations & group practices 1

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1487166278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 97TH PL APT 6O",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741353",
            "telephone_number": "347-804-8895",
            "fax_number": "718-830-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 110TH ST APT 1L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754860",
            "telephone_number": "347-480-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6254 97th Pl Apt 6O",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113741353",
            "country_code": "US",
            "telephone_number": "347-804-8895",
            "fax_number": "718-830-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAFLOR",
        "first_name": "MARIA",
        "middle_name": "LESLIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019183",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019658-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538472881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.