Individual provider Active NPI

Teena George

  • Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1679166755
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028829-1 Issued in NY
Practice address
1647 Aladdin Ave
New Hyde Park, NY 11040-4311
Phone
(516) 673-4937
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028829-1 NY Primary

Addresses

Primary practice location

1647 Aladdin Ave
New Hyde Park, NY 11040-4311

Mailing address

1647 Aladdin Ave
New Hyde Park, NY 11040-4311
Phone (516) 673-4937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315002637 NY Practitioner - Physical Therapist in Private Practice 9436565587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028829-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Jul 18, 2022 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Visiting PT OT Services PLLC Physical Therapist CurrentSince Jul 4, 2022 Accepting new patients
Patriot Family Medical Associates PLLC PastSince May 30, 2016 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: teena.george.1@14448.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1679166755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 ALADDIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404311",
            "telephone_number": "516-673-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 ALADDIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404311",
            "telephone_number": "516-673-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.