Myra Fabrigas Madariaga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5929 Issued in NM

Practice address

740 Veterans Memorial Hwy Ste 210
Hauppauge, NY 11788-2310

Phone

(201) 562-0535

NPI assigned

Apr 6, 2021

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • De Witt, NY
  • NPI 1346530169
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD
• NM BNPT Investment LLC

  dba Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Clovis, NM
  • NPI 1275344236
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1710566682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E CHURCH ST APT 6",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214618",
            "telephone_number": "201-562-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 VETERANS MEMORIAL HWY STE 210",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882310",
            "telephone_number": "201-562-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARIAGA",
        "first_name": "MYRA",
        "middle_name": "FABRIGAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5929",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A. Lynch, PH.D.
• Lynn Pierri DDS Ms PLLC
• Lynnmarie Staiano, LCSW
• Elizabeth Mary Macgilvray, NP
• Erin Mackay
• Alison Maggio
• Marie Magnano, RN
• Adrianna Rose Magno, M.S., CCC-SLP
• Nikkolaya Mahinay, P.T.
• Claudia A. Mahon-Vazquez, DDS

• Physical Therapist in Hauppauge, NY
• Providers in Hauppauge, 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 Aug 26, 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.