Individual provider Active NPI

Maribel B Barroso Tanlioco, PT, DPT

  • Physical Therapist
  • Lake Success, NY
National Provider Identifier
1891741401
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024092 Issued in NY
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

Updated by the provider on May 16, 2019

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 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

IdentifierTypeStateIssuer
024092OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060531000095 NY Practitioner - Physical Therapist in Private Practice 5395756506 Reassigns benefits to 4 organizations

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
New York Luna Care Physical Therapy PLLCGroup PAC ID 0840604666, 62 clinicians
Home Physical Therapy Solutions P.C.Group PAC ID 0941340053, 6 clinicians
Neurological Associates of Long Island, PCGroup PAC ID 9234028788, 14 clinicians

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 100Reported as group
Quality
72.69
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince Aug 13, 2023 Accepting new patients
Neurological Associates of Long Island, PC CurrentSince Oct 10, 2005 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Oct 24, 2025 Accepting new patients
Home Physical Therapy Solutions P.C. Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients
Bravo Occupational Therapy PC Physical Therapist PastSince Oct 1, 2017 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.

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.

Verify at the official NPI Registry.