Dom Carlo Equipaje Delina, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042793 Issued in NY

Practice address

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Phone

(516) 829-0030

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097

  Physical Therapist

  Medicare reassignment NPD
• Tamayo Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1326299371
  Medicare reassignment NPD
• Reddy Care Physical and Occupational Therapy PLLC

  • Specialist
  • Great Neck, NY
  • NPI 1477052967

  Physical Therapist

  NPD
• Maxwell Medical Health, PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1881012987
  NPD (past)
• Maxwell Medical PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1356769442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1831869601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MAHOPAC AVE",
            "city": "AMAWALK",
            "state": "NY",
            "postal_code": "105011001",
            "telephone_number": "914-661-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Mahopac Ave",
            "address_purpose": "LOCATION",
            "city": "Amawalk",
            "state": "NY",
            "postal_code": "105011001",
            "country_code": "US",
            "telephone_number": "914-661-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELINA",
        "first_name": "DOM CARLO",
        "middle_name": "EQUIPAJE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelo F Del Rio, DPT
• Kayla Delafraz, PA-C
• Geraldine Amy Delgado, LMSW
• Danielle Delgrosso
• Parham Delijani, M.S., LAC.
• Tracey Michelle Delio, M.A CCC/SLP
• Rachel Julienne Dellaragione, PA
• Melissa Chae Dellarocca, OTR/L
• Alex Delman, D.O.
• Ronit Delrahim, NP

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.