Marymiel Joy Anetrella, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023856 Issued in NY

Practice address

138 Henrietta Ave
Oceanside, NY 11572-5226

Phone

(646) 286-5038

NPI assigned

Mar 19, 2007

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anetrella Physical Therapy

  • Physical Therapy Clinic/Center
  • Freeport, NY
  • NPI 1417862293
  NPD (past)
• Yellowstone Physical Therapy PC

  • Specialist
  • Woodhaven, NY
  • NPI 1386754695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1750405205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725226",
            "telephone_number": "646-286-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725226",
            "telephone_number": "646-286-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANETRELLA",
        "first_name": "MARYMIEL",
        "middle_name": "JOY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02803950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchor RX Pharmacy Inc. (Anchor Rx Pharmacy)
• Samantha Ray Anderson, CGC
• Gladys Grace Andres Llaguno
• Sarah Maria Andres
• Nicole Andrle, MD
• Annette Fiorillo, DO P.C. (Long Island Allergies)
• Sharon M Antin-Kantrowitz, MS RD CDN
• Rolande China Antoine
• Ayesha Ashraf Anwarullah, MD
• Nicole C Apice

• Physical Therapist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.