Individual provider Active NPI

Mary Grace Abonets Lusan-Urena, PT

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1609042985
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023781 Issued in NY
Practice address
125 Franklin Ave
Island Musculoskeletal Care, MD,PC
Valley Stream, NY 11580-2165
Phone
(516) 887-1787
Fax
(516) 887-2059
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 023781 NY Primary

Addresses

Primary practice location

125 Franklin Ave
Island Musculoskeletal Care, MD,PC
Valley Stream, NY 11580-2165

Mailing address

PO Box 360
Hewlett, NY 11557-0360
Phone (516) 374-6838

Other names 1

  • Mary Grace Abonets Lusan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000471 NY Practitioner - Physical Therapist in Private Practice 1456423425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Musculoskeletal Care MD PCGroup PAC ID 9537058573, 14 clinicians

Practice addresses (Care Compare)

125 Franklin Ave
Valley Stream, NY 11580-2165
Phone (516) 887-1787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care MD PC Physical Therapist Current Accepting new patients
Island Musculoskeletal Care, M.D., P.C. Physical Therapist CurrentSince Mar 10, 2014 Accepting new patients
Island Musculoskeletal Care MD PC Physical Therapist CurrentSince Mar 10, 2014 Accepting new patients

Locations

2475 Eastchester Rd
Bronx, NY 10469
Phone (718) 547-8967

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000

Networks

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

Organizations & group practices 3

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1609042985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570360",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FRANKLIN AVE",
            "address_2": "ISLAND MUSCULOSKELETAL CARE, MD,PC",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802165",
            "telephone_number": "516-887-1787",
            "fax_number": "516-887-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSAN-URENA",
        "first_name": "MARY GRACE",
        "middle_name": "ABONETS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY GRACE",
            "last_name": "LUSAN",
            "middle_name": "ABONETS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.