Individual provider Active NPI

Blanca Cervano-Soto, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1578911194
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
67 W 55TH St
Suite 205
New York, NY 10019-4902
Phone
(212) 759-4553
Fax
(212) 935-5025
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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 CA Primary

Addresses

Primary practice location

67 W 55TH St
Suite 205
New York, NY 10019-4902

Mailing address

155 E 55TH St
Suite 5D
New York, NY 10022-4038
Phone (212) 759-4553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002124 NY Practitioner - Physical Therapist in Private Practice 8527353820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

186 Joralemon St
Brooklyn, NY 11201-4356
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 14, 2022 Accepting new patients
New York University CurrentSince Sep 14, 2022 Accepting new patients
New York Bone and Joint Specialists, PLLC Physical Therapist CurrentSince Jul 9, 2016 Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Past Accepting new patients

Locations

186 Joralemon St
Fl 9
Brooklyn, NY 11201
Phone (929) 455-2399

186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400

155 E 55th St
Ste 5D
New York, NY 10022
Phone (212) 759-4553

67 W 55th St
Ste 205
New York, NY 10019
Phone (212) 759-4553

Organizations & group practices 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1578911194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E 55TH ST",
            "address_2": "SUITE 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224038",
            "telephone_number": "212-759-4553",
            "fax_number": "212-935-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W 55TH ST",
            "address_2": "SUITE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194902",
            "telephone_number": "212-759-4553",
            "fax_number": "212-935-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANO-SOTO",
        "first_name": "BLANCA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "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 Jul 14, 2016; 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.