Individual provider Active NPI

Maria Gloria Forero

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1578166757
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011594-01 Issued in NY
Practice address
300 E Route 59 Ste 112
Nanuet, NY 10954-2955
Phone
(845) 353-3267
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 011594-01 NY Primary

Addresses

Primary practice location

300 E Route 59 Ste 112
Nanuet, NY 10954-2955

Mailing address

99 Battery PL Apt 15F
New York, NY 10280-1325
Phone (646) 246-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011594-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Integrated Medicine PLLC. CurrentSince Nov 22, 2020 Accepting new patients
Cohen & Garcha Podiatry, LLP PastSince Nov 22, 2020 Accepting new patients

Locations

300 E Route 59
#112
Nanuet, NY 10954
Phone (845) 215-5078

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1578166757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BATTERY PL APT 15F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102801325",
            "telephone_number": "646-246-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ROUTE 59 STE 112",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542955",
            "telephone_number": "845-353-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORERO",
        "first_name": "MARIA",
        "middle_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011594-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.