Active NPI
Jaycie Bueno Senase, P.T.
- Physical Therapist
- Bay Shore, NY
National Provider Identifier
1720140692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027532-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 027532-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Acupuncture & Massage Therapy, PLLC | Past | Accepting new patients | |
| Home Advantage Physical Therapy PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Oceanside, NY
- NPI 1134454119
-
- Acupuncturist
- Bay Shore, NY
- NPI 1609165422
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.