BEACON PHYSICAL THERAPY PC (NPI# 1619512316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619512316 |
| Entity Type | Organization |
| Organization Name | BEACON PHYSICAL THERAPY PC |
| Practice Address |
16 Beacon Ave Staten Island NY 10306-1351 |
| Practice Telephone | 2128101881 |
| Mailing Telephone | 2128101881 |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |
| Authorized Official Name | MR. GEORGE L MEDRANO (OWNER) |
| Authorized Official Telephone | 2128101881 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487743506 | Beacon Physical Therapy PC | Physical Therapist | 34 Yale Street, Maplewood, NJ 07040 | 2006-10-12 |
| Street Address |
16 BEACON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728197 | Valeriya Shevchenko | Physical Medicine & Rehabilitation | 123 Arbutus Ave, Staten Island, NY 10312-4524 | 2020-01-03 |
| 1245892736 | Trexy Lynn Duran Aguirre | Physical Medicine & Rehabilitation | 14 Doty Ave, Staten Island, NY 10305-4721 | 2019-07-03 |
| 1598020778 | Bok Jin Kim Wang | Physical Medicine & Rehabilitation | 160 Reno Ave, Staten Island, NY 10306-4233 | 2012-07-12 |
| 1609169697 | Farruq Siddiqui | Physical Medicine & Rehabilitation | 62 Newberry Ave, 1c, Staten Island, NY 10304-4144 | 2011-05-24 |
| 1003109208 | Roberto F Mancuso | Physical Medicine & Rehabilitation | 100 Cedarview Ave, Staten Island, NY 10306-2053 | 2011-05-20 |
| 1831423003 | Jaiyeola Bolaji Kasumu | Physical Medicine & Rehabilitation | 234 Virginia Ave, Staten Island, NY 10305-1733 | 2009-09-22 |
| 1932354818 | Ketan Dhruvkumar Vora | Physical Medicine & Rehabilitation | 24 Bradley Ave, Staten Island, NY 10314-4403 | 2008-11-19 |
| 1104977750 | Mihir Bhatt | Physical Medicine & Rehabilitation | 456 Arlene St, Staten Island, NY 10314-3814 | 2007-01-12 |
| 1487673380 | Mariya Tsinis | Physical Medicine & Rehabilitation | 2324 Forest Ave, Staten Island, NY 10303-1506 | 2006-07-19 |
| 1639194996 | Adolph B. Meyer | Physical Medicine & Rehabilitation | 639 Sinclair Ave, Staten Island, NY 10312-2643 | 2006-07-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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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.