Active NPI
Maria Leslie Bellaflor, PT
- Physical Therapist
- Forest Hills, NY
National Provider Identifier
1487166278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019658-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019183 | NY | |
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538472881 | Other | NY | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019658-1 | NY | MD | Psychologist |
| 019183 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maroven Physical Therapy LLC | Single Specialty | Current | 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.