Sheena Marie Tacang Montefrio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049013 Issued in NY

Practice address

2118 Williamsbridge Rd
Bronx, NY 10461-1602

Phone

(718) 823-3900

Fax

(718) 823-3961

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresh Pond Physical Therapy PCGroup PAC ID 4486605342, 12 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.

• Fresh Pond Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1508844036

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399

  Physical Therapist

  Medicare reassignment NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)
• Fresh Pond Physical Therapy Greenpoint, P.C

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1356608509
  NPD (past)
• Pelham Physical Medicine Inc

  • Specialist
  • Bronx, NY
  • NPI 1144262510
  NPD (past)
• Pelham Physical Medicine Inc

  • Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1952465338

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1790497006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST APT 740",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440171",
            "telephone_number": "631-882-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611602",
            "telephone_number": "718-823-3900",
            "fax_number": "718-823-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEFRIO",
        "first_name": "SHEENA MARIE",
        "middle_name": "TACANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montefiore North
• Montefiore North
• Montefiore North
• Montefiore North Ambulatory Care Center Inc (Wakefield Ambulatory Care Center)
• Montefiore North Division
• Renita Montegut
• Lydia Monteiro-Simmons, DNP, NNP-BC
• Linda Monteiro
• Michelle Montenegro, MD
• Corinna Montera-Scavello, NP

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 Dec 19, 2022; 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.