Individual provider Active NPI

Noelia Santos, DPT

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1811365133
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62 038316 Issued in NY
Practice address
521 Route 111 Ste 107
Hauppauge, NY 11788-4358
Phone
(631) 724-9509
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5049 NV
Physical Therapist 225100000X 05014985A IN
Physical Therapist 225100000X PTL.0014482 CO
Physical Therapist 225100000X PT03609 RI
Physical Therapist 225100000X 11-07208 KS
Physical Therapist 225100000X PTH11238 AL
Physical Therapist 225100000X 26625 MA
Physical Therapist 225100000X 210002230 DC
Physical Therapist 225100000X PT-5597 HI
Physical Therapist 225100000X 63909 OR
Physical Therapist 225100000X PT37757 FL
Physical Therapist 225100000X 13866 CT
Physical Therapist 225100000X 11704 SC
Physical Therapist 225100000X 038316 NY
Physical Therapist 225100000X 62 038316 NY Primary

Addresses

Primary practice location

521 Route 111 Ste 107
Hauppauge, NY 11788-4358

Mailing address

14 Cinder Rd
Garnerville, NY 10923-1114

Other practice location 1

SWORD Health Inc.
65 E Wadsworth Park Drive, Ste. 230
Draper, UT 84020
Phone (385) 308-8034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108002137 NY Practitioner - Physical Therapist in Private Practice 2860794740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

521 Route 111
Hauppauge, NY 11788-4370
Phone (631) 724-9509

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11704SCMDClinical Social Worker
5049NVMDGeneral Practice Dentistry
PTH11238ALMDPhysical Therapist
PTL.0014482COMDPhysical Therapist
13866CTMDPhysical Therapist
210002230DCMDPhysical Therapist
PT37757FLMDPhysical Therapist
PT-5597HIMDPhysical Therapist
05014985AINMDPhysical Therapist
11-07208KSMDPhysical Therapist
26625MAMDPhysical Therapist
038316NYMDPhysical Therapist
62 038316NYMDPhysical Therapist
63909ORMDPhysical Therapist
PT03609RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 19, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 19, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste E
Campbell Hall, NY 10916

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

521 Route 111
Ste 107
Hauppauge, NY 11788
Phone (631) 724-9505

521 Route 111
Hauppauge, NY 11788
Phone (631) 265-9645

576 Broadhollow Rd
Melville, NY 11747

200 Petersville Rd
Ste 3
New Rochelle, NY 10801
Phone (914) 636-5595

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1811365133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CINDER RD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111 STE 107",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884358",
            "telephone_number": "631-724-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SWORD Health Inc.",
            "address_2": "65 E Wadsworth Park Drive, Ste. 230",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "84020",
            "country_code": "US",
            "telephone_number": "385-308-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "NOELIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014985A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014482",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03609",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07208",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11238",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26625",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "210002230",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5597",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37757",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13866",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038316",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 038316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.