Egbert Rollorata Sencio, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027976 Issued in NY

Practice address

55 Northern Blvd
Ste. 103
Great Neck, NY 11021-4058

Phone

(516) 466-9300

Fax

(516) 466-9353

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• NP Physical Therapy, PC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1447806476
  NPD
• Zhanna Roit, M.D. P.C

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
  • NPI 1144266941
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1629020557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD",
            "address_2": "STE. 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214058",
            "telephone_number": "516-466-9300",
            "fax_number": "516-466-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD",
            "address_2": "STE. 103",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214058",
            "telephone_number": "516-466-9300",
            "fax_number": "516-466-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENCIO",
        "first_name": "EGBERT",
        "middle_name": "ROLLORATA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Seitz, LCSW
• Jose Luis Seligson, M.D.
• Sasha Selim
• Jenna Selzer, CCC-SLP
• Kimi Semder, MS
• Seniorstat Psychiatric PC
• Nirmala Senthilkumar, M.D
• Sara H Seo, DDS
• Seolhee Kang Acupuncture, P.C.
• Gerald Septimus, PH.D.

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.