Active NPI
Maribel B Barroso Tanlioco, PT, DPT
- Physical Therapist
- Lake Success, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024092
- Practice address
- 1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057 - Phone
- (516) 466-4700
- Fax
- (516) 466-4810
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024092 | NY | Primary |
Addresses
Primary practice location
1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Mailing address
1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Phone (516) 466-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024092 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Pearl River, NY 10965
Phone (866) 525-3175
111 W Old Country Rd
Unit 1
Hicksville, NY 11801-4036
Phone (516) 433-4570
1991 Marcus Ave
Suite 110
New Hyde Park, NY 11042-2062
Phone 5164664700110
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.68 of 100
- Quality
- 72.69
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Current | Accepting new patients | |
| Neurological Associates of Long Island, PC | Current | Accepting new patients | |
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Home Physical Therapy Solutions P.C. | Physical Therapist | Current | Accepting new patients |
| Bravo Occupational Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190
1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700
111 W Old Country Rd
Unit 1
Hicksville, NY 11801
Phone (516) 433-4570
1991 Marcus Ave
Ste 110
New Hyde Park, NY 11042
Phone (516) 365-8086
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Organizations & group practices 5
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.
-
- Physical Therapist
- Lynbrook, NY
- NPI 1730415431
-
- Neurology Physician
- Lake Success, NY
- NPI 1629013495
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
-
- Occupational Therapist
- Hicksville, NY
- NPI 1194448449
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1891741401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 MARCUS AVENUE",
"address_2": "SUITE 110",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110422057",
"telephone_number": "516-466-4700",
"fax_number": "516-466-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 MARCUS AVENUE",
"address_2": "SUITE 110",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110422057",
"telephone_number": "516-466-4700",
"fax_number": "516-466-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROSO TANLIOCO",
"first_name": "MARIBEL",
"middle_name": "B",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "024092",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.