Individual provider Active NPI

Thomas Charles Iavarone, P.T.

  • Physical Therapist
  • Holbrook, NY
National Provider Identifier
1801833348
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011563-1 Issued in NY
Practice address
20 Peachtree CT
#105
Holbrook, NY 11741-4616
Phone
(631) 467-3700
Fax
(631) 467-0928
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 011563-1 NY Primary

Addresses

Primary practice location

20 Peachtree CT
#105
Holbrook, NY 11741-4616

Mailing address

3935 51St St
Apt 4F
Woodside, NY 11377-3152
Phone (718) 606-9733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000344 NY Practitioner - Physical Therapist in Private Practice 8123049855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011563NYMDOccupational Therapy Assistant
011563-1NYMDLocal Education Agency (LEA)

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients

Locations

2148 Bartow Ave
Bronx, NY 10475
Phone (718) 316-9191

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

3871 Sedgwick Ave
Bronx, NY 10463
Phone (718) 432-1440

1000 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-8200

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

131 W 135th St
New York, NY 10030
Phone (212) 281-8678

2229 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 678-2200

3644 Broadway
Ste 48
New York, NY 10031

153 Bennett Ave
New York, NY 10040
Phone (212) 928-7800

1 Nagle Ave
#1
New York, NY 10040

13240 Metropolitan Ave
Richmond Hill, NY 11418
Phone (718) 376-1111

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801833348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 51ST ST",
            "address_2": "APT 4F",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773152",
            "telephone_number": "718-606-9733",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "#105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAVARONE",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.