Active NPI
Karmela Alyssandra Reyes Patawaran, DPT, PT
- Physical Therapist
- Yorktown Heights, NY
National Provider Identifier
1992457683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042233-01
- Practice address
- 294 Cordial Rd
Yorktown Heights, NY 10598-2604 - Phone
- (718) 510-6743
- NPI assigned
- Jan 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042233-01 | NY | Primary |
Addresses
Primary practice location
294 Cordial Rd
Yorktown Heights, NY 10598-2604
Mailing address
294 Cordial Rd
Yorktown Heights, NY 10598-2604
Phone (718) 510-6743
Other names 1
- Karmela Alyssandra Sy Reyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604000176 | NY | Practitioner - Physical Therapist in Private Practice | 2264974484 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT and OT for Senior Rehab at Home PLLC
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042233 | NY | MD | Pharmacist |
| 042233-01 | NY | MD | Physical Therapist |
Organizations & group practices 1
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": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1992457683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 CORDIAL RD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105982604",
"telephone_number": "718-510-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 CORDIAL RD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105982604",
"telephone_number": "718-510-6743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATAWARAN",
"first_name": "KARMELA ALYSSANDRA",
"middle_name": "REYES",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042233-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARMELA ALYSSANDRA",
"last_name": "REYES",
"middle_name": "SY",
"credential": "DPT, PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.