Active NPI
Agnieszka Taormina, PT
- Physical Therapist
- Holbrook, NY
National Provider Identifier
1811914831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0137201
- Practice address
- 1855 Lincoln Ave
Holbrook, NY 11741 - Phone
- (631) 588-1479
- Fax
- (631) 588-1479
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- 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 | 0137201 | NY | Primary |
Addresses
Primary practice location
1855 Lincoln Ave
Holbrook, NY 11741
Mailing address
1855 Lincoln Ave
Holbrook, NY 11741
Phone (631) 588-1479
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, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 N Sunrise Service Rd
Manorville, NY 11949-9604
Phone (631) 650-2510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0137201 | NY | MD | Physical Therapist |
| 013720 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| Long Island Select Healthcare, Inc. | Current | Accepting new patients |
Locations
159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300
221 N Sunrise Service Rd
Manorville, NY 11949
Phone (631) 650-2510
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJFAD
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.
-
- Federally Qualified Health Center (FQHC)
- Central Islip, NY
- NPI 1043663107
-
- Developmental Disabilities Clinic/Center
- Hauppauge, NY
- NPI 1467805515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811914831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 LINCOLN AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741",
"telephone_number": "631-588-1479",
"fax_number": "631-588-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 LINCOLN AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741",
"telephone_number": "631-588-1479",
"fax_number": "631-588-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAORMINA",
"first_name": "AGNIESZKA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0137201",
"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 8, 2007; 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.