Individual provider Active NPI

Stephanie Tinio, D.P.T

  • Physical Therapist
  • Commack, NY
National Provider Identifier
1881149177
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040680 Issued in NY
Practice address
66 Commack Rd
Suite 300
Commack, NY 11725-3405
Phone
(631) 486-5286
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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 040680 NY Primary

Addresses

Primary practice location

66 Commack Rd
Suite 300
Commack, NY 11725-3405

Mailing address

2142 Utopia Pkwy
Whitestone, NY 11357-4142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927001674 NY Practitioner - Physical Therapist in Private Practice 1557658028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1014 Fort Salonga Rd
Suite 4
Northport, NY 11768-2273
Phone (631) 651-7300

123 Grove Ave
Cedarhurst, NY 11516-2322
Phone (516) 374-4248

1733 N Ocean Ave
Suite a
Medford, NY 11763-2606
Phone (631) 207-3600

200 Broadhollow Rd
Suite 401
Melville, NY 11747-4806
Phone (631) 425-7100

715 Roanoke Ave
Suite 5
Riverhead, NY 11901-2769
Phone (631) 405-5900

755 New York Ave
Suite 106
Huntington, NY 11743-4240
Phone (631) 351-7676

800 Veterans Memorial Hwy
Hauppauge, NY 11788-2948
Phone 6316767304631676

92 Broadway
Suite 102
Greenlawn, NY 11740-1328
Phone (631) 262-7855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040680NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

66 Commack Rd
Ste 300
Commack, NY 11725
Phone (631) 486-5286

92 Broadway
Ste 102
Greenlawn, NY 11740
Phone (631) 262-7855

90 Northern Blvd
Greenvale, NY 11548
Phone (516) 626-5080

576 Broadhollow Rd
Melville, NY 11747

16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1881149177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 UTOPIA PKWY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113574142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMACK RD",
            "address_2": "SUITE 300",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "631-486-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINIO",
        "first_name": "STEPHANIE",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.