George Botros, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042781 Issued in NY

Practice address

5205 Van Loon St
Elmhurst, NY 11373-4258

Phone

(347) 220-8195

Fax

(866) 202-3177

NPI assigned

Jun 13, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Energize Physical Therapy PLLCGroup PAC ID 0143528638, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Energize Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Elmhurst, NY
  • NPI 1427416668

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1548829419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 VAN LOON ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734258",
            "telephone_number": "347-220-8195",
            "fax_number": "866-202-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 VAN LOON ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734258",
            "telephone_number": "347-220-8195",
            "fax_number": "866-202-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Boruhova, O.D.
• Igor Borukhov, RPH
• Sandra Lynn Bossert - Ocner, CASAC, LMSW
• Maurice Botero, LICENSE MASSAGE THER
• Randi Botier
• Jose Bou Nassif, MD
• Boulevard Adult Day Care of Flushing
• Boulevard Anesthesia Associates, PC
• Tatsiana Boutenko, NP
• Rosalind D Boyce, CRNA

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.