Carlo Pena

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044332 Issued in NY

Practice address

9614 Metropolitan Ave Ste B
Forest Hills, NY 11375-6675

Phone

(718) 424-9531

NPI assigned

Jun 24, 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, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Nyc Home Rehab Physical Therapy PLLCGroup PAC ID 5991200180, 6 clinicians

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Nyc Home Rehab Physical Therapy PLLC

  • Physical Therapist
  • Astoria, NY
  • NPI 1386521656
  Medicare reassignment Care Compare group NPD
• Gary Guerriero P.T. P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1154519908
  Medicare reassignment NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Clear Motions Physical Therapy

  • Physical Therapy Clinic/Center
  • Maspeth, NY
  • NPI 1902508054
  NPD Authorized official
• Fresh Pond Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1508844036
  Medicare reassignment
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Rivera Group

  • Physical Therapist
  • Astoria, NY
  • NPI 1487461281
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1578124376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE STE B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756675",
            "telephone_number": "718-424-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5338 65th Pl",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781654",
            "country_code": "US",
            "telephone_number": "208-850-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "CARLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Pecchia, LMSW
• Maria Pedraza
• Jonathan Peikarian, DDS
• Beverley Elaine Pellington, M.S. ED
• Masha Pelts, DDS
• Gisel Pena
• Jefferson Pena
• Diamond Pendleton
• Ramya Pendyala, DO
• Sheetal Penmetsa, MBBS

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, 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 Jan 8, 2024; 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.