NICOLE M AQUINO (NPI# 1861968372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861968372 |
| Entity Type | Individual |
| Full Name | NICOLE M AQUINO |
| Other Name | NICOLE M GALLO |
| Credential | DPT |
| Practice Address |
77 Medford Ave Patchogue NY 11772-1281 |
| Mailing Address |
712 Main St Islip NY 11751-3620 |
| Practice Telephone | 6317581910 |
| Practice Fax Number | 6317581984 |
| Mailing Telephone | 6316663951 |
| Mailing Fax Number | 6316663994 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 041059 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE EDUC DEPT | 041059 | 01 |
| Street Address |
77 MEDFORD AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900925 | Bonnie Rosen | Radiology | 77 Medford Ave, Patchogue, NY 11772-1281 | 2005-11-25 |
| 1841835808 | Brian Connell | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2019-11-14 |
| 1518512581 | Wendy Doroski | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2019-08-07 |
| 1083195895 | Stephanie Lauren Vanschaick | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2018-08-29 |
| 1790299196 | Christina A Melli | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2017-11-21 |
| 1659880474 | William Eagen | Physical Therapy Assistant | 77 Medford Ave, Patchogue, NY 11772-1281 | 2017-09-25 |
| 1730604752 | Daniel Thomas Ippolito | Nurse Practitioner | 77 Medford Ave, Patchogue, NY 11772-1281 | 2017-08-10 |
| 1417405879 | Nicholas J Froiseth | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2016-09-14 |
| 1114318219 | Justine Hoffmann | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2015-02-10 |
| 1437574175 | Jenna Joy Kennedy | Physical Therapist | 77 Medford Ave, Patchogue, NY 11772-1281 | 2014-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1841898400 | Maria Pettet | Physical Therapist | 77 Medford Ave Fl 2, Patchogue, NY 11772-1281 | 2020-10-15 |
| 1548733751 | Matthew Cronan Power | Physical Therapist | 199 Barton Ave, Patchogue, NY 11772-1401 | 2019-01-10 |
| 1043710155 | Sungguk Bae | Physical Therapist | 21 Cleveland St, Patchogue, NY 11772-2815 | 2018-02-15 |
| 1619376092 | Kathryn Waluk | Physical Therapist | 256 Barton Ave, Patchogue, NY 11772-1409 | 2014-08-21 |
| 1104267616 | Nancy Pol Stith | Physical Therapist | 77 Route 112, Patchogue, NY 11772 | 2013-07-12 |
| 1487998084 | Thomas D Gelveles | Physical Therapist | 4405 Waverly Ave Ste 5, Patchogue, NY 11772 | 2012-11-20 |
| 1689961138 | Kristle Marie Morahan | Physical Therapist | 77 Route 112 Ste F, Patchogue, NY 11772-1230 | 2011-07-06 |
| 1528351988 | Premier Physical Therapy of Long Island PC | Physical Therapist | 1 Terry St, Patchogue, NY 11772-1720 | 2011-05-18 |
| 1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
| 1811137508 | Dax Christopher Campbell | Physical Therapist | 680 Route 112 Ste C, Patchogue, NY 11772-1344 | 2009-02-20 |
| Find all providers in PATCHOGUE | ||||
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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.