Mina Ebrahiem Thaofelis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039427-1 Issued in NY

Practice address

2039 Palmer Ave Ste 202
Larchmont, NY 10538-2483

Phone

(661) 448-0297

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1255900296

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1750872016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13534 82ND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351322",
            "telephone_number": "661-448-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 PALMER AVE STE 202",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382483",
            "telephone_number": "661-448-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAOFELIS",
        "first_name": "MINA",
        "middle_name": "EBRAHIEM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039427-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Benjamin Swirsky, D.D.S.
• Zakkiya Husna Syed
• Melissa Tam, FNP
• Cindy Ann Tanenbaum, PH.D, CSW
• William Tarrant
• The Mind Wellness Connection LCSW PLLC
• Tiffany Thomas
• Lisa Lee Tiberi, DMD
• Lori Toppi, RN
• Kieran Joseph Traynor, PT, MS

• Physical Therapist in Larchmont, NY
• Providers in Larchmont, 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 May 22, 2018; 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.