Individual provider Active NPI

Richard Reyes Serrano, P.T

  • Physical Therapist
  • New City, NY
National Provider Identifier
1588729636
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027306 Issued in NY
Practice address
873 Route 45 Ste 102
New City, NY 10956-1123
Phone
(845) 570-5260
NPI assigned
Dec 27, 2006
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027306 NY Primary
Physical Therapist 225100000X

Addresses

Primary practice location

873 Route 45 Ste 102
New City, NY 10956-1123

Mailing address

218 Capstan CT
College Point, NY 11356-1160
Phone (917) 703-3021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000153 NY Practitioner - Physical Therapist in Private Practice 2961574017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockland Recovery Physical Therapy PLLCGroup PAC ID 8022180173, 4 clinicians

Practice addresses (Care Compare)

10706 Liberty Ave
Ozone Park, NY 11417-1813
Phone (845) 354-7779

3296 Palisades Ctr Dr
West Nyack, NY 10994-6602
Phone (845) 354-7779

Merit-based Incentive Payment System (MIPS)

Final score
25.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027306NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness & Recovery Medical Practice, PC CurrentSince Jun 1, 2021 Accepting new patients
Active Assist Medical Supplies Inc Current Accepting new patients
Active Adult Day Care, LLC Current Accepting new patients
Rockland Recovery Physical Therapy, PLLC Physical Therapist CurrentSince Sep 29, 2008 Accepting new patients
Optimal Home Care Inc Physical Therapist CurrentSince Nov 12, 2019 Accepting new patients
Harmony Medical Care, PC PastSince Dec 1, 2025 Accepting new patients
Optimal Otpt PastSince Jul 16, 2023 Accepting new patients

Locations

369 White Plains Rd
Eastchester, NY 10709
Phone (914) 395-3691

3503 Farrington St
Fl 1
Flushing, NY 11354
Phone (718) 886-8531

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

10706 Liberty Ave
Ozone Park, NY 11417
Phone (718) 323-2229

873 Route 45
#102
Spring Valley, NY 10977
Phone (516) 466-9325

3296 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 213-2064

3296 Palisades Center Dr
Fl 3
West Nyack, NY 10994

Networks

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1588729636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CAPSTAN CT",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561160",
            "telephone_number": "917-703-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561123",
            "telephone_number": "845-570-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "RICHARD",
        "middle_name": "REYES",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027306",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.