Active NPI
Jonathan Gary Pavlica, DPT
- Physical Therapist
- Oyster Bay, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039152
- Practice address
- 123 South St Ste 110
Oyster Bay, NY 11771-2274 - Phone
- (516) 624-6739
- NPI assigned
- Oct 1, 2015
- Last updated
- Oct 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039152 | NY | Primary |
Addresses
Primary practice location
123 South St Ste 110
Oyster Bay, NY 11771-2274
Mailing address
7 Bowden LN
Glen Head, NY 11545-2201
Phone (516) 457-5773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
814 Fulton St
Suite B
Farmingdale, NY 11735-3638
Phone (516) 420-1927
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Frank Anthony Cesare | Physical Therapist | Past | Accepting new patients |
Locations
814 Fulton St
Ste B
Farmingdale, NY 11735
Phone (516) 420-1927
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Farmingdale, NY
- NPI 1700895646
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Physical Therapist
- Whitestone, NY
- NPI 1154864676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1780054817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BOWDEN LN",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115452201",
"telephone_number": "516-457-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SOUTH ST STE 110",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712274",
"telephone_number": "516-624-6739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLICA",
"first_name": "JONATHAN",
"middle_name": "GARY",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.