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

Thera Dynamic Physical Therapy P.c is a medicare enrolled "Physical Therapist" provider in Woodhaven, New York. Their current practice location is 7922 Jamaica Ave, Woodhaven, New York. You can reach out to their office (for appointments etc.) via phone at (347) 494-5684.

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
	7922 Jamaica Ave, Woodhaven, NY 11421-1801
	(347) 494-5684
	(347) 494-5641

Map and Direction

Healthcare Provider's Profile

Full Name	Thera Dynamic Physical Therapy P.c
Type	Facility
Speciality	Physical Therapist
Location	7922 Jamaica Ave, Woodhaven, 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: 10/03/2023

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
02837832	Medicaid	NY
PH0434	Other	NY	ELDER PLAN
2766209	Other	NY	UNITED HEALTHCARE
P4059437	Other	NY	OXFORD FREEDOM
OP025591	Other	NY	METROPLUS
1263296P	Other	NY	EMBLEM HEALTH
1760591465-01	Other	NY	VILLAGE CARE
01941401	Other	NY	EMPIRE BCBS HEALTHPLUS
PT025591-A85	Other	NY	HEALTHFIRST
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 7922 Jamaica Ave, Woodhaven, NY 11421-1801 Ph: (347) 494-5684

Reviews and Comments

Physical Therapist in Woodhaven, NY

Shiarree Evaristo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91-35 97th Street, Woodhaven, NY 11421 Phone: 347-965-3356
Keri Lynn Heron, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Jamaica Ave, Woodhaven, NY 11421 Phone: 631-366-3898
Grace Bonus, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7907 Jamaica Ave, Woodhaven, NY 11421 Phone: 347-494-5684 Fax: 347-494-5641
Marco Ortega, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8504 91st Ave, Woodhaven, NY 11421 Phone: 347-531-5494
Evelina Braude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8305 98th St Apt 5s, Woodhaven, NY 11421 Phone: 917-385-9063
Miss Shalimar Mariano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-847-4222 Fax: 718-441-4117
Dax Xerxes Nepomuceno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95-25 Jamaica Ave., 1st Floor, Woodhaven, NY 11421 Phone: 718-441-4070 Fax: 718-441-4027

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