Individual provider Active NPI

Romeo Racos, DPT

  • Physical Therapist
  • Glen Cove, NY
National Provider Identifier
1497469639
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046789-01 Issued in NY
Practice address
32 Pearsall Ave Apt 1E
Glen Cove, NY 11542-3011
Phone
(516) 424-9089
NPI assigned
Jan 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 046789-01 NY Primary

Addresses

Primary practice location

32 Pearsall Ave Apt 1E
Glen Cove, NY 11542-3011

Mailing address

32 Pearsall Ave Apt 1E
Glen Cove, NY 11542-3011
Phone (516) 424-9089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000941 NY Practitioner - Physical Therapist in Private Practice 4385002617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodyset Physical and Occupational Therapy PLLCGroup PAC ID 6608345145, 2 clinicians
Bodyset Physical Therapy PLLCGroup PAC ID 3476911702, 2 clinicians

Practice addresses (Care Compare)

Glen Cove, NY 11542
Phone (516) 424-9089

32 Pearsall Ave
Apt 1E
Glen Cove, NY 11542-3011
Phone (516) 424-9089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046789NYMDPharmacist
046789-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyset Physical & Occupational Therapy PLLC CurrentSince Jul 28, 2025 Accepting new patients
Bodyset Physical Therapy PLLC Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1497469639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PEARSALL AVE APT 1E",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423011",
            "telephone_number": "516-424-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PEARSALL AVE APT 1E",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423011",
            "telephone_number": "516-424-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACOS",
        "first_name": "ROMEO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046789-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.