Active NPI
Walter Paul Vancura, P.T.
- Physical Therapist
- Commack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016205
- Practice address
- 366 Veterans Memorial Hwy
Suite #2
Commack, NY 11725-4387 - Phone
- (631) 543-2068
- Fax
- (631) 543-2082
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 016205 | NY | Primary |
Addresses
Primary practice location
366 Veterans Memorial Hwy
Suite #2
Commack, NY 11725-4387
Mailing address
366 Veterans Memorial Hwy
Suite #2
Commack, NY 11725-4387
Phone (631) 543-2068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q32A51 | Other | NY | EMPIRE BCBS |
| 281045P | Other | NY | GENERAL PROV ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016205 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Complete Chiropractic Healthcare, P.C. | Past | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313
745 Route 25A
Rocky Point, NY 11778
Phone (516) 457-6387
5958 Route 25A
Wading River, NY 11792
Phone (631) 804-9410
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Chiropractor
- Hauppauge, NY
- NPI 1932526696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1508958497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 VETERANS MEMORIAL HWY",
"address_2": "SUITE #2",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254387",
"telephone_number": "631-543-2068",
"fax_number": "631-543-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 VETERANS MEMORIAL HWY",
"address_2": "SUITE #2",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254387",
"telephone_number": "631-543-2068",
"fax_number": "631-543-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCURA",
"first_name": "WALTER",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "Q32A51",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL PROV ID#",
"identifier": "281045P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.