| Nikki Elline Sebastian, | |
|
5630 Myrtle Ave, Ridgewood, NY 11385-4736 | |
| (718) 400-7500 | |
| Not Available |
| Full Name | Nikki Elline Sebastian |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5630 Myrtle Ave, Ridgewood, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699504357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 047618 (New York) | Primary |
| Provider Name | Reddy Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1932171097 PECOS PAC ID: 5890685986 Enrollment ID: O20150511000611 |
| Provider Name | New York Luna Care Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
| Provider Name | Achieve At Home Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1932840188 PECOS PAC ID: 4789071903 Enrollment ID: O20220418001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Elline Sebastian, 40-06 68th Street, Unit 3a, Woodside, Queens, NY 11377 Ph: () - | Nikki Elline Sebastian, 5630 Myrtle Ave, Ridgewood, NY 11385-4736 Ph: (718) 400-7500 |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Mrs. Elenita Bautista Oliver, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1732 Dekalb Ave, Ridgewood, NY 11385 Phone: 718-386-3124 |