Individual provider Active NPI

Teresa Bianchi, MA PT

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1831558501
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011635 Issued in NY
Practice address
521 Route 111 Ste 107
Hauppauge, NY 11788-4358
Phone
(631) 724-9509
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 011635 NY Primary

Addresses

Primary practice location

521 Route 111 Ste 107
Hauppauge, NY 11788-4358

Mailing address

145 Brookside Ave
North Babylon, NY 11703-4922

Other practice location 1

250 Marcus Blvd
Hauppauge, NY 11788-2018
Phone (631) 232-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000882 NY Practitioner - Physical Therapist in Private Practice 2062717192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy PCGroup PAC ID 1355418104, 10 clinicians

Practice addresses (Care Compare)

970 Wellwood Ave
Lindenhurst, NY 11757-1016
Phone 6312251289301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
011635NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 11, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 11, 2024 Accepting new patients
Advance Physical Therapy, P.C. Physical Therapist CurrentSince Jun 22, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

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

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

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

Organizations & group practices 3

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1831558501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BROOKSIDE AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034922"
        },
        {
            "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": "250 Marcus Blvd",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117882018",
            "country_code": "US",
            "telephone_number": "631-232-0011",
            "fax_number": "631-232-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "TERESA",
        "credential": "MA PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011635",
            "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 Mar 29, 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.