Individual provider Active NPI

Jaycie Bueno Senase, P.T.

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1720140692
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027532-1 Issued in NY
Practice address
156 4TH Ave
Bay Shore, NY 11706-7900
Phone
(631) 647-7194
Fax
(631) 647-7196
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 027532-1 NY Primary

Addresses

Primary practice location

156 4TH Ave
Bay Shore, NY 11706-7900

Mailing address

156 4TH Ave
Bay Shore, NY 11706-7900
Phone (631) 647-7194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027532-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Acupuncture & Massage Therapy, PLLC Past Accepting new patients
Home Advantage Physical Therapy PC Physical Therapist PastSince Oct 1, 2009 Accepting new patients

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1720140692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067900",
            "telephone_number": "631-647-7194",
            "fax_number": "631-647-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067900",
            "telephone_number": "631-647-7194",
            "fax_number": "631-647-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENASE",
        "first_name": "JAYCIE",
        "middle_name": "BUENO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027532-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.