Individual provider Active NPI

Bliss Sharon S Tejano

  • Physical Therapist
  • New York, NY
National Provider Identifier
1508166182
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32527 Issued in NY
Practice address
303 5TH Ave
Suite 1413
New York, NY 10016-6601
Phone
(212) 481-8678
Fax
(212) 481-6398
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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 32527 NY Primary

Addresses

Primary practice location

303 5TH Ave
Suite 1413
New York, NY 10016-6601

Mailing address

166 Jackson Ave
Mineola
Mineola, NY 11501-2459
Phone (212) 481-8678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000024 NY Practitioner - Physical Therapist in Private Practice 4385814789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32527NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Rehabilitation PT, PC. Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Sports Medicine & Spine Rehab, PC CurrentSince Aug 27, 2021 Accepting new patients
Lakeview Chiropractic, P.C. PastSince Dec 2, 2015 Accepting new patients

Locations

2570 Merrick Rd
Bellmore, NY 11710
Phone (516) 221-9640

510 Ocean Ave
Ste 1
East Rockaway, NY 11518
Phone (516) 399-2225

990 Westbury Rd
Ste 201
Westbury, NY 11590
Phone (516) 876-8800

3530 64th St
Woodside, NY 11377
Phone (347) 642-9066

Organizations & group practices 3

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1508166182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 JACKSON AVE",
            "address_2": "MINEOLA",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012459",
            "telephone_number": "212-481-8678",
            "fax_number": "212-481-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "SUITE 1413",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166601",
            "telephone_number": "212-481-8678",
            "fax_number": "212-481-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJANO",
        "first_name": "BLISS SHARON",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "32527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.