Elmer P Mabeza, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020549 Issued in NY

Practice address

36 East Main Street
Bay Shore, NY 11706

Phone

(631) 665-3714

Fax

(631) 665-3749

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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 Therapy Specialists of New York, PLLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1598040016
  NPD (past) Authorized official
• All Island Chiropractic & Physical Therapy Care, PLLC

  • Chiropractor
  • Bay Shore, NY
  • NPI 1922444124

  Physical Therapist

  NPD (past)
• All Island Chiropractic & Physical Therapy, PLLC

  • Chiropractor
  • Bay Shore, NY
  • NPI 1881759843

  Physical Therapist

  NPD (past)
• Physical Therapy Specialists of New York, PLLC

  • Physical Therapist
  • North Baldwin, NY
  • NPI 1356662423
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1689739864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 WESLEY ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101432",
            "telephone_number": "516-223-8286",
            "fax_number": "516-223-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-3714",
            "fax_number": "631-665-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABEZA",
        "first_name": "ELMER",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quoc-Huy Ly
• Meaghan Sarah Lynch, AGACNP-BC, MSN, RN
• Lynne Slovin
• Camille Natasha Lyons, CASAC- T
• Katie Leigh Lyver, PMHNP
• Kyla Mackay
• Madison Dental Management Associates LLC
• Diane Hilde Magliulo, DO
• Raymond Rocco Magliulo, DO
• Sheena Mahabeer, PHYSICIAN ASSISTANT

• Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.