Individual provider Active NPI

Iris Claire Pepito Umbay, PT

  • Physical Therapist
  • South Richmond Hill, NY
National Provider Identifier
1750035523
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045570 Issued in NY
Practice address
13104 Liberty Ave
South Richmond Hill, NY 11419-3124
Phone
(718) 322-2269
Fax
(718) 322-4697
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 045570 NY Primary

Addresses

Primary practice location

13104 Liberty Ave
South Richmond Hill, NY 11419-3124

Mailing address

16336 88TH St
Howard Beach, NY 11414-3344
Phone (510) 518-8616

Other practice location 1

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030

Other practice location 2

250 W 93rd St Lowr Level
New York, NY 10025-7391
Phone (212) 580-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613000035 NY Practitioner - Physical Therapist in Private Practice 7911385455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians

Practice addresses (Care Compare)

11 Holt Dr
Stony Point, NY 10980-1919
Phone (845) 942-4355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045570NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil H. Butani Physician P.C. CurrentSince Mar 1, 2022 Accepting new patients
Kayal Orthopaedic, PLLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Reddy Care Physical Therapy PC Physical Therapist CurrentSince Mar 19, 2025 Accepting new patients
Sunil H. Butani Physician P.C. CurrentSince Mar 1, 2022 Accepting new patients
Kayal Medical Group, LLC Physical Therapist PastSince Jan 1, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

16 Squadron Blvd
Ste 102
New City, NY 10956
Phone (845) 634-2225

250 W 93rd St
Apt Llvl
New York, NY 10025
Phone (212) 580-0125

13104 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 587-0950

11 Holt Dr
Stony Point, NY 10980
Phone (845) 942-4355

Organizations & group practices 6

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1750035523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16336 88TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143344",
            "telephone_number": "510-518-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114193124",
            "telephone_number": "718-322-2269",
            "fax_number": "718-322-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W 93rd St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100257391",
            "country_code": "US",
            "telephone_number": "212-580-0125",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMBAY",
        "first_name": "IRIS CLAIRE",
        "middle_name": "PEPITO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.