Individual provider Active NPI

Kariz Mae Galano De Los Santos

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1770132433
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041138-1 Issued in NY
Practice address
8742 Parsons Blvd
Jamaica, NY 11432-3317
Phone
(718) 456-2543
Fax
(718) 559-6784
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 041138-1 NY Primary

Addresses

Primary practice location

8742 Parsons Blvd
Jamaica, NY 11432-3317

Mailing address

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone (718) 456-2543

Other practice location 1

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone (718) 456-2543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000450 NY Practitioner - Physical Therapist in Private Practice 4789916214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 Merrick Ave
East Meadow, NY 11554-4748
Phone (516) 393-8900

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041138NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
041138-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Fresh Pond Physical Therapy Greenpoint, P.C Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Oct 1, 2024 Accepting new patients

Locations

1007 Manhattan Ave
Fl 1
Brooklyn, NY 11222
Phone (718) 383-7361

1007 Manhattan Ave
Brooklyn, NY 11222
Phone (718) 383-7361

801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526

Organizations & group practices 4

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1770132433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "718-456-2543",
            "fax_number": "718-799-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323317",
            "telephone_number": "718-456-2543",
            "fax_number": "718-559-6784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113855200",
            "country_code": "US",
            "telephone_number": "718-456-2543",
            "fax_number": "718-799-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "KARIZ MAE",
        "middle_name": "GALANO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041138-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.