Thera Dynamic Physical Therapy P.c in Woodside, NY - Medicare Physical Therapist Provider

Thera Dynamic Physical Therapy P.c is a medicare enrolled "Physical Therapist" provider in Woodside, New York. Their current practice location is 4702 47th Ave, Woodside, New York. You can reach out to their office (for appointments etc.) via phone at (718) 532-4705.

Thera Dynamic Physical Therapy P.c is licensed to practice in New York (license number 025591-0) and it also participates in the medicare program. Thera Dynamic Physical Therapy P.c is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750471124.

Contact Information

	Thera Dynamic Physical Therapy P.c
	4702 47th Ave, Woodside, NY 11377-6125
	(718) 532-4705
	(347) 494-5641

Map and Direction

Healthcare Provider's Profile

Full Name	Thera Dynamic Physical Therapy P.c
Type	Facility
Speciality	Physical Therapist
Location	4702 47th Ave, Woodside, New York
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750471124
Provider Enumeration Date: 10/13/2006
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2264534759
Enrollment ID: O20080418000354

Medical Identifiers

Medical identifiers for Thera Dynamic Physical Therapy P.c such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750471124	NPI	-	NPPES
2766209	Other	NY	UNITED HEALTHCARE
1263296P	Other	NY	EMBLEM HEALTH
OP025591	Other	NY	METROPLUS
PT025591-A85	Other	NY	HEALTHFIRST
01941401	Other	NY	EMPIRE BCBS HEALTHPLUS
P4059437	Other	NY	OXFORD FREEDOM
PH0434	Other	NY	ELDER PLAN
02837832	Medicaid	NY
1760591465-01	Other	NY	VILLAGE CARE
82ADC1	Other	NY	EMPIRE BCBS
841087	Other	NY	OPTUM HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	025591-0 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thera Dynamic Physical Therapy P.c acts as a billing entity for following providers:

Provider Name	Leezel May Andres
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1760591465 PECOS PAC ID: 8628170115 Enrollment ID: I20070301000662

Provider Name	Mary Jean P Endozo
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1740551415 PECOS PAC ID: 9234398348 Enrollment ID: I20120309000109

Provider Name	Lalaine Garcia Luna
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1205194164 PECOS PAC ID: 5092054635 Enrollment ID: I20210309001527

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thera Dynamic Physical Therapy P.c is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thera Dynamic Physical Therapy P.c 1443 28th Ave Apt 2d, Long Island City, NY 11102-3663 Ph: (718) 939-4166	Thera Dynamic Physical Therapy P.c 4702 47th Ave, Woodside, NY 11377-6125 Ph: (718) 532-4705

Reviews and Comments

Physical Therapist in Woodside, NY

Maureen Desepeda Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4170 72nd St Apt 1, Woodside, NY 11377 Phone: 929-235-6081
Abigail Morales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6207 Woodside Ave, Woodside, NY 11377 Phone: 718-749-6838
Summit Care Physical Therapy P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3759 61st St Ste M2, Woodside, NY 11377 Phone: 718-424-2273 Fax: 718-424-2278
Young Yu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4119 60th St, 3c, Woodside, NY 11377 Phone: 917-868-0407
Amanda Alfonso, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42-77 65th Place, Woodside, NY 11377 Phone: --
Abante Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5034 69th St, Woodside, NY 11377 Phone: 718-606-0366
Emil Bimbo Arguil Bergado, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3211 55th St, Apt. 1, Woodside, NY 11377 Phone: 631-839-5550

Thera Dynamic Physical Therapy P.c - Medicare Physical Therapist in Woodside, NY