Individual provider Active NPI

Lorraine Guarino-Minassian, PT, CSCS

  • Specialist
  • Blauvelt, NY
National Provider Identifier
1720157159
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018584 Issued in NY
Practice address
580 Route 303 # 11
Westshore Plaza
Blauvelt, NY 10913-1105
Phone
(845) 680-6655
Fax
(845) 680-6655
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018584 NY Primary

Addresses

Primary practice location

580 Route 303 # 11
Westshore Plaza
Blauvelt, NY 10913-1105

Mailing address

580 Route 303 # 11
Blauvelt, NY 10913-1105
Phone (845) 680-6655

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Physical Therapy PLLC PastSince Feb 1, 2003 Accepting new patients

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1720157159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ROUTE 303 # 11",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131105",
            "telephone_number": "845-680-6655",
            "fax_number": "845-680-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROUTE 303 # 11",
            "address_2": "WESTSHORE PLAZA",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131105",
            "telephone_number": "845-680-6655",
            "fax_number": "845-680-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINO-MINASSIAN",
        "first_name": "LORRAINE",
        "credential": "PT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "018584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blauvelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.