Active NPI
Alejandro T Mariano, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1609867944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0103951
- Practice address
- 65 Columbus Ave
Staten Island, NY 10304-4325 - Phone
- (718) 448-3210
- Fax
- (718) 816-7417
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 0103951 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 0103951 | NY | |
| Physical Therapist | 225100000X | 0103951 | NY | Primary |
Addresses
Primary practice location
65 Columbus Ave
Staten Island, NY 10304-4325
Mailing address
2535 Arthur Kill Rd
Staten Island, NY 10309-1207
Phone (718) 448-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966
65 Columbus Ave
Staten Island, NY 10304-4325
Phone (718) 448-3210
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.07 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010395 | NY | MD | Mental Health Counselor |
| 0103951 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients |
Locations
1983 Marcus Ave
Ste 119
New Hyde Park, NY 11042
Phone (516) 321-7526
65 Columbus Ave
Staten Island, NY 10304
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1609867944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 ARTHUR KILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091207",
"telephone_number": "718-448-3210",
"fax_number": "718-984-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COLUMBUS AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044325",
"telephone_number": "718-448-3210",
"fax_number": "718-816-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "ALEJANDRO",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "0103951",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "0103951",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0103951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.