Mary Jean K Terlizzi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010834-1 Issued in NY

Practice address

167 Route 304
Suite 108
Bardonia, NY 10954-2050

Phone

(845) 625-2810

Fax

(845) 517-3486

NPI assigned

Apr 19, 2011

Last updated

Feb 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, NJ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  NJ, Physical Therapist

  Medicare reassignment NPD
• B Stern Physical Therapy P.C.

  • Physical Therapist
  • Monsey, NY
  • NPI 1588814966
  Medicare reassignment
• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099
  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1588954960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "address_2": "SUITE 108",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-625-2810",
            "fax_number": "845-517-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "address_2": "SUITE 108",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-625-2810",
            "fax_number": "845-517-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLIZZI",
        "first_name": "MARY JEAN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010834-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Neil Small, DDS
• John A Sofia, PTA
• Sarah Steele, OTR/L
• Step Right Up, LLC
• Mark Sudol, OT
• Tintu Thomas, PHARMD
• Sid Michael Tucker, DDS
• Hadassah Tzubeli
• Lina Vaisblat
• Barbara Whiting

• Physical Therapist in Bardonia, NY
• Providers in Bardonia, 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 Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.