Active NPI
Mary Jane Fernandez Vilchez, PT
- Physical Therapist
- Briarwood, NY
National Provider Identifier
1942441837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030162
- Practice address
- 14436 87TH Rd
Briarwood, NY 11435-3124 - Phone
- (929) 478-0660
- NPI assigned
- Mar 23, 2009
- 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 | 030162 | NY | Primary |
Addresses
Primary practice location
14436 87TH Rd
Briarwood, NY 11435-3124
Mailing address
9059 55TH Ave Apt 2
Elmhurst, NY 11373-4560
Phone (347) 681-5812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090925000114 | NY | Practitioner - Physical Therapist in Private Practice | 6103972617 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030162 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Yakov Raufov Medical PC | Past | Accepting new patients | |
| Atlantic Anesthesia /Pain Management Medical Services P.C. | Past | Accepting new patients | |
| Blue Sky Physical Therapy Services PC | Physical Therapist | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1366692527
-
- Physical Therapist
- Flushing, NY
- NPI 1487379848
-
- Physical Therapist
- Brooklyn, NY
- NPI 1699461202
-
- Specialist
- Brooklyn, NY
- NPI 1497839799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1942441837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9059 55TH AVE APT 2",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734560",
"telephone_number": "347-681-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14436 87TH RD",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114353124",
"telephone_number": "929-478-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILCHEZ",
"first_name": "MARY JANE",
"middle_name": "FERNANDEZ",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.