Lewis Ross Baeringer, D.P.T.
Individual provider Active NPI Physical Therapist · Farmingdale, NY
NPI 1720193451 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1720193451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 020417-1 (NY)
- Practice address
- 218 Fulton St Apt 1C
Farmingdale, NY 11735-2541 - Phone
- (516) 694-1093
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020417-1 | NY | MD | Physical Therapist |
| 020417 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020417-1 | NY | Yes |
Addresses
Primary practice location
218 Fulton St Apt 1C
Farmingdale, NY 11735-2541
Mailing address
15 Lever PL
Plainview, NY 11803-3703
Phone (516) 938-0955
Other providers in Farmingdale, NY
- Charles Steven Axelrad
- Alyssa Aydinoglu
- Josephine Ayers
- Michael S Badalamente
- Cindy Denise Baeringer
- Jaslene Baez
- Bernadette Balane
- Erin Brooke Baldi
- Julia Baldinger
- Jitladda Bannon
All providers in Farmingdale, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.