Active NPI
Dore Siegelson, PT
- Physical Therapist
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016540
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07556 | Other | NY | PHYSICAL THERAPY |
| Q29052 | Other | NY | PHYSICAL THERAPY |
| Q07U91 | Other | NY | PHYSICAL THERAPY |
Other names 1
- Dore Bowers
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dbowers@motionptg.com | Direct |
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, 1996
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016540-1 | NY | MD | Military Health Care Provider |
| 016540 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapy Clinic/Center
- Rochdale, NY
- NPI 1831119247
Physical Therapist
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.