BRYAN BARACALDO (NPI# 1073120739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073120739 |
| Entity Type | Individual |
| Full Name | BRYAN BARACALDO |
| Credential | DPT |
| Practice Address |
1000 Northern Blvd Great Neck NY 11021-5338 |
| Mailing Address |
800 E Gate Blvd Garden City NY 11530-2105 |
| Practice Telephone | 5164669730 |
| Mailing Telephone | 5167458070 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 046008 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599396 | Bryan Baracaldo | Nurse Practitioner | 13519 77th Ave, Flushing, NY 11367-2823 | 2017-03-23 |
| Street Address |
1000 NORTHERN BLVD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649846 | Blanche Fung Liu | Specialist | 1000 Northern Blvd, Ste 140, Great Neck, NY 11021-5312 | 2005-06-20 |
| 1013540343 | Peter Magri Jr. | Nurse Practitioner | 1000 Northern Blvd, Great Neck, NY 11021-5338 | 2020-02-14 |
| 1306201066 | Long Island Oral Surgery Associates, PC | Dentist | 1000 Northern Blvd, Suite 180, Great Neck, NY 11021-5338 | 2015-12-23 |
| 1669863072 | Great Neck Orthodontics Pllc | Dentist | 1000 Northern Blvd, Suite 300, Great Neck, NY 11021-5338 | 2015-02-08 |
| 1528491149 | Londa Otti Hackett | Acupuncturist | 1000 Northern Blvd, Suite 150, Great Neck, NY 11021-5338 | 2013-08-19 |
| 1851733752 | Maria Berenato | Audiologist | 1000 Northern Blvd, Suite 330, Great Neck, NY 11021-5338 | 2013-07-22 |
| 1154769669 | Integrated Triborough Medical, Pllc | Psychiatry & Neurology | 1000 Northern Blvd, Suite 175, Great Neck, NY 11021-5338 | 2013-06-06 |
| 1780959866 | Ariel Nassim | Internal Medicine | 1000 Northern Blvd, Ste 375, Great Neck, NY 11021-5312 | 2012-03-21 |
| 1801177076 | H. Sasson, M.d., P.C. | Plastic Surgery | 1000 Northern Blvd, Suite 370, Great Neck, NY 11021 | 2011-09-01 |
| 1053615252 | David Godfried Md PC | Orthopaedic Surgery | 1000 Northern Blvd, Suite 250, Great Neck, NY 11021-5312 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404173 | 101 Avenue Physical Therapy PC | Physical Therapist | 277 Northern Blvd Ste 301, Great Neck, NY 11021-4703 | 2017-08-26 |
| 1326417866 | Jieke Ke | Physical Therapist | 770 Middle Neck Rd, Great Neck, NY 11024-1956 | 2015-09-15 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1407105455 | Joanie Marie Kerekes | Physical Therapist | 475 Northern Boulevard, Suite11, Great Neck, NY 11021 | 2012-09-06 |
| 1376828293 | Idit Rosenblum | Physical Therapist | 38 Knightsbridge Rd Apt 3a, Great Neck, NY 11021-4523 | 2011-10-12 |
| 1548558026 | Christina Auriti | Physical Therapist | 560 Northern Blvd Ste 106b, Great Neck, NY 11021-5100 | 2011-07-18 |
| 1225324676 | Christine Joy R Adan | Physical Therapist | 55 Northern Blvd Ste 103, Great Neck, NY 11021-4058 | 2011-06-23 |
| 1275856940 | Christina O Davi | Physical Therapist | 330 Great Neck Road, Great Neck, NY 11021-4227 | 2010-03-09 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1245472828 | Alison M Rogan | Physical Therapist | 600 Northern Blvd Fl 3, Great Neck, NY 11021-5206 | 2009-03-30 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.