Active NPI
Torin Bacon
- Physical Therapist
- Lynbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 225 Merrick Rd
Lynbrook, NY 11563-2621 - Phone
- (516) 599-8734
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
225 Merrick Rd
Lynbrook, NY 11563-2621
Mailing address
PO Box 416501
Boston, MA 02241-6501
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211210002081 | NY | Practitioner - Physical Therapist in Private Practice | 1153711882 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048083 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients |
Locations
1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776
939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404
214 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 268-3555
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734
225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734
1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580
389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444
57 Old Shore Rd
Port Washington, NY 11050
Phone (516) 464-7959
1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 7
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.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
NY, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Kingston, NY
- NPI 1194295998
-
- Physical Medicine & Rehabilitation Physician
- Poughkeepsie, NY
- NPI 1548739956
-
- Physical Medicine & Rehabilitation Physician
- Rhinebeck, NY
- NPI 1922578723
-
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA
Practice addresses (Care Compare)
3961 Long Beach Rd
Island Park, NY 11558-1127
Phone (516) 897-9700
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.23 of 100
- Quality
- 79.1
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1497320824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416501",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416501",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MERRICK RD",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632621",
"telephone_number": "516-599-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "TORIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.