Fresh Pond Physical Therapy, P.c - Medicare in Ridgewood, NY

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Fresh Pond Physical Therapy, P.c is a medicare enrolled "Clinic/center - Physical Therapy" provider in Ridgewood, New York. Their current practice location is 6805 Fresh Pond Rd, Ridgewood, New York. You can reach out to their office (for appointments etc.) via phone at (718) 456-2545.

Fresh Pond Physical Therapy, P.c is licensed to practice in New York (license number 015401) and it also participates in the medicare program. Fresh Pond 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 1508844036.

Contact Information

Fresh Pond Physical Therapy, P.c
6805 Fresh Pond Rd,
Ridgewood, NY 11385-5200
(718) 456-2545
(718) 559-6784

Map and Direction




Healthcare Provider's Profile

Full NameFresh Pond Physical Therapy, P.c
TypeFacility
SpecialityClinic/center - Physical Therapy
Location6805 Fresh Pond Rd, Ridgewood, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508844036
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 05/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486605342
  • Enrollment ID: O20050208000670

Medical Identifiers

Medical identifiers for Fresh Pond Physical Therapy, P.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508844036NPI-NPPES
02184710MedicaidNY
4C7780OtherNYHEALTHNET
P2666818OtherNYOXFORD
19447POtherNYHIP
QQ1073OtherNYEMPIRE BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 015401 (New York)Secondary
2251C2600XPhysical Therapist - Cardiopulmonary (* (Not Available))Secondary
2251E1300XPhysical Therapist - Electrophysiology, Clinical (* (Not Available))Secondary
2251G0304XPhysical Therapist - Geriatrics (* (Not Available))Secondary
2251H1200XPhysical Therapist - Hand (* (Not Available))Secondary
2251H1300XPhysical Therapist - Human Factors (* (Not Available))Secondary
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy 015401 (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. Fresh Pond Physical Therapy, P.c acts as a billing entity for following providers:
Provider NameLiza Tan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982628764
PECOS PAC ID: 3779542303
Enrollment ID: I20041007000747
Provider NameWinnie Q Go
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609938620
PECOS PAC ID: 9234131558
Enrollment ID: I20070215000139
Provider NameMa Soledad Alberto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093990491
PECOS PAC ID: 9133202617
Enrollment ID: I20080206000462
Provider NameNoreen D Lagman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275667339
PECOS PAC ID: 3173680105
Enrollment ID: I20090319000036
Provider NameArthur S Estrada
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396183620
PECOS PAC ID: 4688801046
Enrollment ID: I20131211000833
Provider NameMyriah Pahl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447618210
PECOS PAC ID: 5395041909
Enrollment ID: I20160308001867
Provider NameDonghwan Park
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265916423
PECOS PAC ID: 7517211022
Enrollment ID: I20181120002141
Provider NameBryan Joseph Rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205326774
PECOS PAC ID: 8820331192
Enrollment ID: I20190530001299
Provider NameKrisbert D Lapurga
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215389044
PECOS PAC ID: 5395033427
Enrollment ID: I20190530002071
Provider NameRaylyn E Joven
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538724877
PECOS PAC ID: 6103159033
Enrollment ID: I20190610000598
Provider NameCarlo B Pena
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578124376
PECOS PAC ID: 3779817598
Enrollment ID: I20190628000340
Provider NameRuchi Modi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114569688
PECOS PAC ID: 5496086613
Enrollment ID: I20191018001367
Provider NameKariz Mae Galano De Los Santos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770132433
PECOS PAC ID: 4789916214
Enrollment ID: I20191101000450
Provider NameAllan Alfred T Aquino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144709007
PECOS PAC ID: 0345672473
Enrollment ID: I20191112000859
Provider NameShevvie Sialana
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568009116
PECOS PAC ID: 3779916663
Enrollment ID: I20191206002021
Provider NameCzarissa Espanol Casalme
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336788421
PECOS PAC ID: 7315372786
Enrollment ID: I20200113000454
Provider NameCarl Christian Mangurali Suico
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275170557
PECOS PAC ID: 1052747359
Enrollment ID: I20200205001084
Provider NameKarem Jeffrey Casino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457976946
PECOS PAC ID: 8820410418
Enrollment ID: I20200629001400
Provider NameAnita Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366031270
PECOS PAC ID: 2466868476
Enrollment ID: I20210316002671
Provider NameRadha Joshi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376163741
PECOS PAC ID: 6406263755
Enrollment ID: I20210402000010
Provider NameElline Nicole Montemayor Ventura
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396324588
PECOS PAC ID: 6305241589
Enrollment ID: I20210826000708
Provider NameIan Enrick Bartolome
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083240279
PECOS PAC ID: 5193123404
Enrollment ID: I20211018000123
Provider NameChristine Carmille Lucero Espiritu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851055107
PECOS PAC ID: 8527457928
Enrollment ID: I20211104002478
Provider NameStephanie P Hadjail
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295332377
PECOS PAC ID: 8123410628
Enrollment ID: I20220113000043
Provider NameSoujanya Gutha
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942953385
PECOS PAC ID: 2264826221
Enrollment ID: I20220308002532
Provider NameKhadija Moharram
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659027290
PECOS PAC ID: 5597150839
Enrollment ID: I20220323000821
Provider NameAlyssa Jeanine Bernardo Villanueva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124760178
PECOS PAC ID: 3173910437
Enrollment ID: I20220505000701
Provider NameDarryl Baroja Altea
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194309195
PECOS PAC ID: 7012394372
Enrollment ID: I20220507000030
Provider NameBhavna Rajesh Devnani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043927817
PECOS PAC ID: 7719351287
Enrollment ID: I20230323002179
Provider NameStanley Q. Ong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497245831
PECOS PAC ID: 8022472661
Enrollment ID: I20230914002087
Provider NameShaira Kaye Luna
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518641695
PECOS PAC ID: 8123482775
Enrollment ID: I20230914002547
Provider NameRobert William Jr Cardenas Umandap
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174214308
PECOS PAC ID: 7911351713
Enrollment ID: I20230927003911
Provider NameAram Lim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902681539
PECOS PAC ID: 9032564075
Enrollment ID: I20231011004022

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. Fresh Pond 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 AddressPractice Location Address
Fresh Pond Physical Therapy, P.c
68-05 Fresh Pond Road,
Ridgewood, NY 11385

Ph: (718) 456-2545		Fresh Pond Physical Therapy, P.c
6805 Fresh Pond Rd,
Ridgewood, NY 11385-5200

Ph: (718) 456-2545

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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