Active NPI
Louis Cifarelli, DPT
- Physical Therapist
- Ronkonkoma, NY
National Provider Identifier
1669764247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033193-1
- Practice address
- 500 Portion Rd
#5
Ronkonkoma, NY 11779-4587 - Phone
- (631) 588-2100
- NPI assigned
- May 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033193-1 | NY | Primary |
Addresses
Primary practice location
500 Portion Rd
#5
Ronkonkoma, NY 11779-4587
Mailing address
500 Portion Rd
#5
Ronkonkoma, NY 11779-4587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814001280 | NY | Practitioner - Physical Therapist in Private Practice | 7719104751 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- GNLC Physical Therapy PLLC
Practice addresses (Care Compare)
500 Portion Rd
Suite 5
Lake Ronkonkoma, NY 11779-4587
Phone (631) 588-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033193-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1669764247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PORTION RD",
"address_2": "#5",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117794587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PORTION RD",
"address_2": "#5",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117794587",
"telephone_number": "631-588-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIFARELLI",
"first_name": "LOUIS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033193-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.