Individual provider Active NPI

Harleen Bawa, PT

  • Specialist
  • Manhasset, NY
National Provider Identifier
1871781021
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029200-1 Issued in NY
Practice address
1165 Northern Blvd Ste 202
Manhasset, NY 11030-3048
Phone
(516) 667-4331
Fax
(516) 209-3235
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 029200-1 NY Primary

Addresses

Primary practice location

1165 Northern Blvd Ste 202
Manhasset, NY 11030-3048

Mailing address

154 Mineola Blvd
Mineola, NY 11501-3981
Phone (516) 667-4331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023002161 NY Practitioner - Physical Therapist in Private Practice 8123109063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1165 Northern Blvd
Suite 202
Manhasset, NY 11030-3048
Phone (646) 354-9157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029200-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Core Physical Therapy PC CurrentSince Jul 1, 2014 Accepting new patients
Comprehensive Podiatric Care LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

1165 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 667-4331

21838 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 233-8871

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1871781021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013981",
            "telephone_number": "516-667-4331",
            "fax_number": "516-209-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD STE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-667-4331",
            "fax_number": "516-209-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWA",
        "first_name": "HARLEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "029200-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.