Individual provider Active NPI

Dore Siegelson, PT

  • Physical Therapist
  • Rockville Centre, NY
National Provider Identifier
1639154610
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016540 Issued in NY
Practice address
70 Maple Ave
Rockville Centre, NY 11570-4225
Phone
(516) 536-7388
Fax
(516) 608-6717
NPI assigned
Dec 13, 2005
Last updated
Dec 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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 016540-1 NY
Physical Therapist 225100000X 016540 NY Primary

Addresses

Primary practice location

70 Maple Ave
Rockville Centre, NY 11570-4225

Mailing address

70 Maple Ave
Rockville Centre, NY 11570-4225
Phone (516) 536-7388

Other identifiers 3

IdentifierTypeStateIssuer
07556OtherNYPHYSICAL THERAPY
Q29052OtherNYPHYSICAL THERAPY
Q07U91OtherNYPHYSICAL THERAPY

Other names 1

  • Dore Bowers Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dbowers@motionptg.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317001120 NY Practitioner - Physical Therapist in Private Practice 2769437128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1012 Railroad Ave
Woodmere, NY 11598-1645
Phone (516) 371-5410

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

340 Dogwood Ave
Franklin Square, NY 11010-3409
Phone (516) 437-5300

585 Stewart Ave
Garden City, NY 11530-4783
Phone (516) 265-1050

70 Maple Ave
Rockville Centre, NY 11570-4225
Phone (516) 536-7388

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016540-1NYMDMilitary Health Care Provider
016540NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
New York Physical and Occupational Therapy PLLC Physical Therapist Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

70 Maple Ave
Rockville Ctr, NY 11570
Phone (516) 536-3336

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • 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, 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1639154610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-536-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-536-7388",
            "fax_number": "516-608-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGELSON",
        "first_name": "DORE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016540-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "07556",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "Q29052",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "Q07U91",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbowers@motionptg.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Maple Ave",
            "city": "Rockville Centre",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115704225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DORE",
            "last_name": "BOWERS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.