Active NPI
Thomas Charles Iavarone, P.T.
- Physical Therapist
- Holbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011563-1
- 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
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 | 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.73 of 100
- Quality
- 75.36
- Improvement activities
- 40
- Cost
- 71.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011563 | NY | MD | Occupational Therapy Assistant |
| 011563-1 | NY | MD | Local Education Agency (LEA) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theradynamics Rehab. PT, OT & SLP, PLLC | Physical Therapist | Current | Accepting new patients |
| Theradynamics Physical Therapy Rehabilitation PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Bronx, NY
- NPI 1619132230
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Physical Therapist
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.