Mars Antonio Medina, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026132-1 Issued in NY

Practice address

25 Hemlock Dr
Congers, NY 10920-1401

Phone

(845) 267-0110

Fax

(845) 267-2634

NPI assigned

Nov 27, 2007

Last updated

May 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Healthresources of Rockland IncGroup PAC ID 4183631708, 15 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arc Healthresources of Rockland, Inc.

  • Internal Medicine Physician
  • New City, NY
  • NPI 1154369056

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1760664106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 SEQUOIA DR",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201401",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARS",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie C Leto, M.A.
• Sherry Llauger
• Vilma Marin, RN
• Rekha Nevin Mathew, FNP
• Sruti Mathur, PHARMACIST
• Vivette Mednard
• Elizabeth Anne Messmer, DPT
• Wesley Miller
• Melissa W Moreno I, FNP
• Lori Neil

• Physical Therapist in Congers, NY
• Providers in Congers, 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 29, 2015; 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.