Elaine Greenberg, PT
Individual provider Active NPI Physical Therapist · Glen Head, NY
NPI 1487857017 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487857017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 029189-1 (NY)
- Practice address
- 333 Glen Head Rd
Glen Head, NY 11545-1947 - Phone
- (516) 759-3480
- NPI assigned
- Jun 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Mercy College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
Practice addresses (Care Compare)
801 Merrick Ave
East Meadow, NY 11554-4748
Phone (516) 393-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080116000366 | NY | Practitioner - Physical Therapist in Private Practice | 1254412273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029189-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current |
Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current |
Accepting new patients |
Locations
801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029189-1 | NY | Yes |
Addresses
Primary practice location
333 Glen Head Rd
Glen Head, NY 11545-1947
Mailing address
5 Edgewood Ave
Glen Head, NY 11545-1008
Phone (516) 674-8555
Other providers in Glen Head, NY
- Nicole Gomez
- Frances Marie Goodness
- Pamela Gordon
- Larissa Gourdet
- Onoufrios Goussis
- Michael I Gurevich
- Nina Gurevich
- Ghazanfar W Haidery
- Sarah Tucker Halliday
- Hamed Hossainian NP in Psychiatry PLLC
All providers in Glen Head, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.