Individual provider Active NPI

Annie Joseph

  • Geriatric Physical Therapist
  • Hicksville, NY
National Provider Identifier
1871964080
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
026940 Issued in NY
Practice address
265 N Broadway
Hicksville, NY 11801-2933
Phone
(516) 605-2200
Fax
(516) 605-2203
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 026940 NY Primary

Addresses

Primary practice location

265 N Broadway
Hicksville, NY 11801-2933

Mailing address

265 N Broadway
Hicksville, NY 11801-2933
Phone (516) 605-2200

Other practice location 1

1848 Deer Park Ave
Deer Park, NY 11729-4318
Phone (631) 502-0008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000441 NY Practitioner - Physical Therapist in Private Practice 9032418538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riviah LLCGroup PAC ID 8123327624, 3 clinicians

Practice addresses (Care Compare)

2 Donna CT
Commack, NY 11725-5200
Phone (631) 885-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026940NYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Park Chiropractic and Physical Therapy PLLC Current Accepting new patients
Physical Therapy of Hicksville PLLC CurrentSince Feb 1, 2016 Accepting new patients
Bienetre Medical PC Past Accepting new patients

Locations

1848 Deer Park Ave
Deer Park, NY 11729
Phone (631) 502-0008

265 N Broadway
Unit 3
Hicksville, NY 11801
Phone (516) 605-2200

265 N Broadway
Hicksville, NY 11801
Phone (516) 605-2200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1871964080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012933",
            "telephone_number": "516-605-2200",
            "fax_number": "516-605-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012933",
            "telephone_number": "516-605-2200",
            "fax_number": "516-605-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1848 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117294318",
            "country_code": "US",
            "telephone_number": "631-502-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "026940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.