Individual provider Active NPI

Jeffrey Torrevillas

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1710059704
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013844 Issued in NY
Practice address
106 Guenther Ave
Valley Stream, NY 11580-3600
Phone
(917) 420-5208
NPI assigned
Nov 14, 2006
Last updated
Jul 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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 013844 NY Primary

Addresses

Primary practice location

106 Guenther Ave
Valley Stream, NY 11580-3600

Mailing address

106 Guenther Ave
Valley Stream, NY 11580-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000095 NY Practitioner - Physical Therapist in Private Practice 1759381445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xiang Bin Kong Medical PCGroup PAC ID 2961728381, 2 clinicians

Practice addresses (Care Compare)

835 60TH St
Brooklyn, NY 11220-4310
Phone (718) 686-6548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013844NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Xiang Bin Kong Medical PC CurrentSince Jun 4, 2024 Accepting new patients
Em Physical Therapy PC Physical Therapist Past Accepting new patients
NDS Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

835 60th St
Brooklyn, NY 11220
Phone (718) 686-6548

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1710059704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GUENTHER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GUENTHER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803600",
            "telephone_number": "917-420-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREVILLAS",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.