Bozena Pisla-Khalil, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015452 Issued in NY

Practice address

13 Duke Dr
Manhasset Hills, NY 11040-1207

Phone

(917) 747-1771

Fax

(516) 570-0484

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1932178969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DUKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401207",
            "telephone_number": "917-747-1771",
            "fax_number": "516-570-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DUKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401207",
            "telephone_number": "917-747-1771",
            "fax_number": "516-570-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISLA-KHALIL",
        "first_name": "BOZENA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amara Mirza, RPH
• Patricia Moss, PH.D.
• Paula Okin, M.A.C.C.C.
• Nelsie Pacheco, LCSW
• Darshan Patel, M.D.
• Lillian Rokhsar, MA, CCC-SLP
• Joyce Ann Rubenstein, PHD
• Samuel Michael Associates LLC (Life Line Family Clinic)
• Jaime Silverman
• Jessica Ann Spina, M.S. CCC-SLP, TSSLD

• Physical Therapist in Manhasset Hills, NY
• Providers in Manhasset Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.