Active NPI
Apoorva Vishwanath Bangera
- Physical Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047728
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 047728 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Mailing address
31 N Millpage Dr
Bethpage, NY 11714-4820
Phone (617) 952-1921
Other practice location 1
31 N Millpage Dr
Bethpage, NY 11714-4820
Phone (617) 952-1921
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Merrick Ave
East Meadow, NY 11554-4748
Phone (516) 393-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.16 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047728 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Single Specialty | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Reddy Care Physical Therapy PC | Single Specialty | Current | Accepting new patients |
| Theradynamics Rehab. PT, OT & SLP, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
20832 Cross Island Pkwy
Ste 32
Bayside, NY 11360
Phone (516) 466-7723
1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016
280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212
2024 Deer Park Ave
Deer Park, NY 11729
Phone (516) 243-0247
801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288
2421 Long Beach Rd
Oceanside, NY 11572
Phone (516) 766-1717
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
972 Brush Hollow Rd
Westbury, NY 11590
150 Woodbury Rd
Woodbury, NY 11797
Phone (516) 367-1111
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
Single Specialty
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Physical Therapist
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1972133759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 N MILLPAGE DR",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117144820",
"telephone_number": "617-952-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030"
}
],
"practiceLocations": [
{
"address_1": "31 N Millpage Dr",
"address_purpose": "LOCATION",
"city": "Bethpage",
"state": "NY",
"postal_code": "117144820",
"country_code": "US",
"telephone_number": "617-952-1921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGERA",
"first_name": "APOORVA",
"middle_name": "VISHWANATH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.