Kyle Robert Ansbach
Individual provider Active NPI Physical Therapist · Lindenhurst, NY
NPI 1750002895 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1750002895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 048082 (NY)
- Practice address
- 256 N Wellwood Ave
Lindenhurst, NY 11757-3707 - Phone
- (631) 957-7300
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Physical Occupational Speech Massage Therapy and Acupuncture PLL
New York University
Practice addresses (Care Compare)
322 W Main St
Patchogue, NY 11772-3008
Phone (631) 228-4977
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221101001052 | NY | Practitioner - Physical Therapist in Private Practice | 5799152906 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
1338 Peninsula Blvd
Hewlett, NY 11557
Phone (516) 583-5817
1400 Montauk Hwy
Oakdale, NY 11769
Phone (631) 876-2418
322 W Main St
Patchogue, NY 11772
Phone 5167458070520
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 048082 | NY | Yes |
Addresses
Primary practice location
256 N Wellwood Ave
Lindenhurst, NY 11757-3707
Mailing address
256 N Wellwood Ave
Lindenhurst, NY 11757-3707
Phone (631) 957-7300
Other providers in Lindenhurst, NY
- Mikayla Jayne Altintas
- Vincent G Amato
- April Helen Anderson
- Andrea Quintana DO PC
- Anil Patil, MD PC
- Brianna Elizabeth Antonawich
- Saeed Anwar
- Apex DME LLC
- Ardee Assoc. Oyster Bay L.L.C
- Ardee Associates Oyster Bay LLC
All providers in Lindenhurst, 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 Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.