Individual provider Active NPI

Evan Bronchick, DPT

  • Physical Therapist
  • Rockville Centre, NY
National Provider Identifier
1962731620
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032194-1 Issued in NY
Practice address
8 N Oceanside Rd
Rockville Centre, NY 11570-5122
Phone
(516) 536-4400
Fax
(516) 536-4706
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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 032194-1 NY Primary

Addresses

Primary practice location

8 N Oceanside Rd
Rockville Centre, NY 11570-5122

Mailing address

8 N Oceanside Rd
Rockville Centre, NY 11570-5122
Phone (516) 536-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000242 NY Practitioner - Physical Therapist in Private Practice 3870638745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

3074 31St St
Astoria, NY 11102-2073
Phone (718) 480-3053

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032194-1NYMDPhysical Therapist
032194NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Feb 9, 2023 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients

Locations

805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874

3074 31st St
Astoria, NY 11102
Phone (516) 898-9869

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

312 N Broadway
Jericho, NY 11753
Phone (516) 738-5548

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1010 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 377-7213

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1962731620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N OCEANSIDE RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705122",
            "telephone_number": "516-536-4400",
            "fax_number": "516-536-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N OCEANSIDE RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705122",
            "telephone_number": "516-536-4400",
            "fax_number": "516-536-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONCHICK",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032194-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.