Individual provider Active NPI

Maria Rizza Sanchez Etrata, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1679232391
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040822 Issued in NY
Practice address
153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone
(347) 702-9959
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 040822 NY Primary

Addresses

Primary practice location

153 Bay 26TH St
Brooklyn, NY 11214-4938

Mailing address

153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (347) 702-9959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111001259 NY Practitioner - Physical Therapist in Private Practice 4981096583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Grand Rehab PT P.C.Group PAC ID 6709156656, 3 clinicians

Practice addresses (Care Compare)

6009 Myrtle Ave
Ridgewood, NY 11385-5933
Phone (347) 472-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040822NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Partners PT PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Adam Physical Therapy P.C. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Grand Rehab PT PC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Northern Manhattan Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Jan 26, 2022 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

153 Bay 26th St
Brooklyn, NY 11214
Phone (347) 702-9958

651 W 180th St
#2
New York, NY 10033
Phone (646) 863-8353

6009 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 472-1834

Networks

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

Organizations & group practices 5

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1679232391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BAY 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144938",
            "telephone_number": "347-702-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BAY 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144938",
            "telephone_number": "347-702-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETRATA",
        "first_name": "MARIA RIZZA",
        "middle_name": "SANCHEZ",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.