Homeside Rehab, Pt, Ot, Slp Llc - Medicare in Brooklyn, NY

  1. Home
Homeside Rehab, Pt, Ot, Slp Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Brooklyn, New York. Their current practice location is 3911 Avenue P, Brooklyn, New York. You can reach out to their office (for appointments etc.) via phone at (718) 377-5000.

Homeside Rehab, Pt, Ot, Slp Llc is licensed to practice in New York (license number 030125) and it also participates in the medicare program. Homeside Rehab, Pt, Ot, Slp Llc 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 1023258431.

Contact Information

Homeside Rehab, Pt, Ot, Slp Llc
3911 Avenue P,
Brooklyn, NY 11234-3501
(718) 377-5000
(718) 377-5002

Map and Direction




Healthcare Provider's Profile

Full NameHomeside Rehab, Pt, Ot, Slp Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location3911 Avenue P, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023258431
  • Provider Enumeration Date: 02/25/2009
  • Last Update Date: 06/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7810045309
  • Enrollment ID: O20090512000199

Medical Identifiers

Medical identifiers for Homeside Rehab, Pt, Ot, Slp Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023258431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 016813 (New York)Secondary
261QX0100XClinic/center - Occupational Medicine 016301 (New York)Secondary
261QP2000XClinic/center - Physical Therapy 030125 (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. Homeside Rehab, Pt, Ot, Slp Llc acts as a billing entity for following providers:
Provider NameMichael Ditucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760834121
PECOS PAC ID: 2860383726
Enrollment ID: I20040322001116
Provider NameStacey R Leeds
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164404372
PECOS PAC ID: 7113919051
Enrollment ID: I20040517001220
Provider NameSvetlana Milner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386698819
PECOS PAC ID: 5092789792
Enrollment ID: I20040819001054
Provider NameBabu Moses
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962442681
PECOS PAC ID: 7113824541
Enrollment ID: I20050415000222
Provider NameMagdy A Tantawy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972599041
PECOS PAC ID: 1456375070
Enrollment ID: I20060123000680
Provider NameKhaled M Elasmar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467620385
PECOS PAC ID: 1759392780
Enrollment ID: I20060505000309
Provider NameCarolyn R Kearns
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235286717
PECOS PAC ID: 1456445675
Enrollment ID: I20070919000551
Provider NameGuy A Campolo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528228061
PECOS PAC ID: 2567535941
Enrollment ID: I20080717000599
Provider NameYves Marie Antoine
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912196106
PECOS PAC ID: 6507930765
Enrollment ID: I20080806000160
Provider NameYisroel Brody
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649440777
PECOS PAC ID: 5991870149
Enrollment ID: I20080822000081
Provider NameLyubov Servakh
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992949713
PECOS PAC ID: 4688722218
Enrollment ID: I20090508000056
Provider NameSheila Marie P Tinsay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912221532
PECOS PAC ID: 4284763665
Enrollment ID: I20100524000090
Provider NameAhmed Beshr Abdel Ghaffar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275832099
PECOS PAC ID: 6901082874
Enrollment ID: I20110511000426
Provider NameMarc Frost
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285938811
PECOS PAC ID: 3971780412
Enrollment ID: I20110609000041
Provider NameAaron Roth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427347434
PECOS PAC ID: 8224216650
Enrollment ID: I20110707000004
Provider NameMary Jean P Endozo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740551415
PECOS PAC ID: 9234398348
Enrollment ID: I20120309000109
Provider NameRachel Gamss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558624098
PECOS PAC ID: 2769648773
Enrollment ID: I20120719000174
Provider NameSvetlana Grinberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144554775
PECOS PAC ID: 1850547134
Enrollment ID: I20120802000506
Provider NameRochelle Katz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770888349
PECOS PAC ID: 1355592858
Enrollment ID: I20121109000319
Provider NameMalka Y Plutchok
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1598909814
PECOS PAC ID: 6204087646
Enrollment ID: I20121113000504
Provider NameSharon G Galang
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1033363114
PECOS PAC ID: 2062664253
Enrollment ID: I20121217000196
Provider NameAndrew Cerullo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538416227
PECOS PAC ID: 6103064209
Enrollment ID: I20130531000310
Provider NameSamuel Warmberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366796336
PECOS PAC ID: 2769621291
Enrollment ID: I20130613000425
Provider NameAhmed M Maati
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205272887
PECOS PAC ID: 2062647183
Enrollment ID: I20131028000369
Provider NameYevgeny Rabinovich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598199077
PECOS PAC ID: 2769610260
Enrollment ID: I20140108000402
Provider NameVinod Hobala
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861822157
PECOS PAC ID: 5294958328
Enrollment ID: I20140519001096
Provider NameSarah Barninka
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972927069
PECOS PAC ID: 0840413803
Enrollment ID: I20140520000168
Provider NameMaria Encarnita Diercks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215263504
PECOS PAC ID: 7113062779
Enrollment ID: I20141008000581
Provider NameJoseph Yau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861822389
PECOS PAC ID: 1759603103
Enrollment ID: I20141215000275
Provider NameLindsay Um
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588061972
PECOS PAC ID: 7810211000
Enrollment ID: I20150116000873
Provider NameTzipporah Neuman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1205225737
PECOS PAC ID: 2860718491
Enrollment ID: I20150226000413
Provider NameIra Birnbaum
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740604677
PECOS PAC ID: 3870800261
Enrollment ID: I20150917000944
Provider NameVladislav Beylik
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366821647
PECOS PAC ID: 9234446436
Enrollment ID: I20150921002750
Provider NameArthur Tobias Kern
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417335605
PECOS PAC ID: 1052614575
Enrollment ID: I20160115002118
Provider NameSang Cheng
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700254315
PECOS PAC ID: 0042513186
Enrollment ID: I20160122000873
Provider NameAhson Mahfooz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689049363
PECOS PAC ID: 5991009177
Enrollment ID: I20160209000768
Provider NamePasquale Iannucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215378617
PECOS PAC ID: 3072818806
Enrollment ID: I20160216002032
Provider NameTibu C Tharakan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447623020
PECOS PAC ID: 0840595526
Enrollment ID: I20160217001036
Provider NameCory Giannina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932515301
PECOS PAC ID: 5395043228
Enrollment ID: I20160411000365
Provider NameJonathan Solomon Wise
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235436031
PECOS PAC ID: 0749579902
Enrollment ID: I20160512000140
Provider NameSubin Babu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922476647
PECOS PAC ID: 7719279629
Enrollment ID: I20160714000184
Provider NameAhmed Bedawy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023474772
PECOS PAC ID: 7113219916
Enrollment ID: I20160715000384
Provider NameJonathan Stokar
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841640240
PECOS PAC ID: 1456646181
Enrollment ID: I20160819001701
Provider NameDebra Gross
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609232917
PECOS PAC ID: 7416243183
Enrollment ID: I20160906001693
Provider NameJessica Cenatus
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598137309
PECOS PAC ID: 2062790850
Enrollment ID: I20161029000075
Provider NameAnn Alisa Terril
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629474317
PECOS PAC ID: 6204114978
Enrollment ID: I20161031002422
Provider NameOmolola Omishore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366890089
PECOS PAC ID: 5395024509
Enrollment ID: I20161110001849
Provider NameEdwin Ramos Italia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366600967
PECOS PAC ID: 9133408123
Enrollment ID: I20161115001574
Provider NameFreidi Gunsburg
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760843577
PECOS PAC ID: 0042591166
Enrollment ID: I20170104001441
Provider NameSarah Rudman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508309469
PECOS PAC ID: 5799068789
Enrollment ID: I20170217001103
Provider NameChristian Papperello
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952772840
PECOS PAC ID: 8022392158
Enrollment ID: I20170308002345
Provider NameTatiana Smirnova
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972043834
PECOS PAC ID: 9537444161
Enrollment ID: I20170323000074
Provider NameSydney Lieberman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558750448
PECOS PAC ID: 2668759341
Enrollment ID: I20170505001302
Provider NameVashti Prasad
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972992964
PECOS PAC ID: 2062783475
Enrollment ID: I20170803001458
Provider NamePeter Romagnuolo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891214847
PECOS PAC ID: 2466726948
Enrollment ID: I20170921002601
Provider NameSabiha Khan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467968347
PECOS PAC ID: 1355601048
Enrollment ID: I20180126001054
Provider NameMahmoud Nagy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093214504
PECOS PAC ID: 3173884897
Enrollment ID: I20180220003156
Provider NameParitaben V Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659822732
PECOS PAC ID: 9032470034
Enrollment ID: I20180308001949
Provider NameIrina Evmenenko
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710236237
PECOS PAC ID: 8527320274
Enrollment ID: I20180319000497
Provider NameUyen Thanh Hai Nguyen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972989192
PECOS PAC ID: 4082977384
Enrollment ID: I20180419002726
Provider NamePatricia Unita Burkett-fung
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952547929
PECOS PAC ID: 8628332574
Enrollment ID: I20180501002656
Provider NameKing Imasuen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821453051
PECOS PAC ID: 9537418876
Enrollment ID: I20180821001084
Provider NameGuissy Moise
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245562164
PECOS PAC ID: 2769726553
Enrollment ID: I20181205001531
Provider NameNicholas Searle
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619362464
PECOS PAC ID: 0547505547
Enrollment ID: I20181219002589
Provider NameSasha Sanon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609341668
PECOS PAC ID: 6305184417
Enrollment ID: I20190215001000
Provider NameMohamed El Keshawi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750631644
PECOS PAC ID: 5395085328
Enrollment ID: I20190328002742
Provider NameRudolf Yakutelov
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073847406
PECOS PAC ID: 1254673320
Enrollment ID: I20190422002066
Provider NameYefim Paykin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053679878
PECOS PAC ID: 7810239381
Enrollment ID: I20190502001230
Provider NameJordan Rurik Onate Leonor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679033682
PECOS PAC ID: 4789927542
Enrollment ID: I20190517000785
Provider NameDavid Salib
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326417288
PECOS PAC ID: 5890028138
Enrollment ID: I20190531001259
Provider NameJudith Bella Seliger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811482136
PECOS PAC ID: 6800122003
Enrollment ID: I20190725002424
Provider NameEsther Feintuch
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003213521
PECOS PAC ID: 1052640935
Enrollment ID: I20190903002314
Provider NameAisha Mulfinger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1720631112
PECOS PAC ID: 4688904584
Enrollment ID: I20190919000183
Provider NameStephanie Spinosa
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649829342
PECOS PAC ID: 9133552078
Enrollment ID: I20191205003098
Provider NameAhmed Abdrabou
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801395157
PECOS PAC ID: 9234564808
Enrollment ID: I20200109000784
Provider NameAhmed Abdelkader
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457485336
PECOS PAC ID: 1456786862
Enrollment ID: I20200113001979
Provider NameKhalid Gomaa Mahmoud Attia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881246544
PECOS PAC ID: 6507295896
Enrollment ID: I20200408000998
Provider NameSonia Jaiki Roney
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1366977811
PECOS PAC ID: 1355772773
Enrollment ID: I20200518003037
Provider NameBonifacio Quilo-an
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497218309
PECOS PAC ID: 8123440807
Enrollment ID: I20200625002020
Provider NameDavid Matthew Hoke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194235846
PECOS PAC ID: 2062836943
Enrollment ID: I20200724001136
Provider NameViktoria Dimitrova-franco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922597202
PECOS PAC ID: 4082030879
Enrollment ID: I20200811001624
Provider NameAmanda Suarez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881202885
PECOS PAC ID: 3870919004
Enrollment ID: I20200818002106
Provider NameDouglas Tyler Fabrizio
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053945808
PECOS PAC ID: 4688090830
Enrollment ID: I20200824001003
Provider NameAllison Zheng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760090898
PECOS PAC ID: 2961829635
Enrollment ID: I20200826000783
Provider NameYonatan Ratner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467926683
PECOS PAC ID: 1355769175
Enrollment ID: I20200910002618
Provider NameKaterina Kalantarova
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508475617
PECOS PAC ID: 0547688129
Enrollment ID: I20200914001950
Provider NameFraidy Wagschal
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588274146
PECOS PAC ID: 5294153722
Enrollment ID: I20200916000852
Provider NameKarime Wayne Condison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255946505
PECOS PAC ID: 9032537220
Enrollment ID: I20200921002004
Provider NameEmily Church Thomas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174894448
PECOS PAC ID: 2264743442
Enrollment ID: I20200929001311
Provider NameJophel Gador
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508466848
PECOS PAC ID: 6204247109
Enrollment ID: I20201125001463
Provider NameSamantha Jean-francois
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366817116
PECOS PAC ID: 7517364375
Enrollment ID: I20210921001493
Provider NameOlivia Juana Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417526211
PECOS PAC ID: 9537566252
Enrollment ID: I20210923000755
Provider NameClaudine Petit
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1215476361
PECOS PAC ID: 4981095015
Enrollment ID: I20211229000380
Provider NameIryna Volska
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780920892
PECOS PAC ID: 7719364074
Enrollment ID: I20220507000152
Provider NameKendrick Pol Marania
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083351399
PECOS PAC ID: 3870971955
Enrollment ID: I20220601002010
Provider NameSherine Mina
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063860237
PECOS PAC ID: 3173902459
Enrollment ID: I20220616000348
Provider NameErin Dail
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306585013
PECOS PAC ID: 6204216880
Enrollment ID: I20220629003067
Provider NameMorgan Larcara
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609504984
PECOS PAC ID: 4789060799
Enrollment ID: I20220928002821
Provider NameStephanie Calicchia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699000794
PECOS PAC ID: 2466828678
Enrollment ID: I20221012003886
Provider NameLawrence John Torgan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780303107
PECOS PAC ID: 4688043003
Enrollment ID: I20221207001145
Provider NameAmanda Rebecca Lutz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427622398
PECOS PAC ID: 7315319225
Enrollment ID: I20230202000200
Provider NameChaya Schwartz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1033512082
PECOS PAC ID: 8628437829
Enrollment ID: I20230706002318
Provider NameKhushubu Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255011268
PECOS PAC ID: 3476916453
Enrollment ID: I20230823002769
Provider NameAlina Polyanskaya
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1679352736
PECOS PAC ID: 3577918382
Enrollment ID: I20231016000099
Provider NameIdongesit Dickson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811203433
PECOS PAC ID: 1254789316
Enrollment ID: I20231129003446
Provider NameMahmoud Abdelsalam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982387601
PECOS PAC ID: 6002264900
Enrollment ID: I20231204001818
Provider NameRobert Francis Cayetano Tumang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285342964
PECOS PAC ID: 4688023898
Enrollment ID: I20231213003131
Provider NameSarah Bienenfeld
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992107460
PECOS PAC ID: 1951523117
Enrollment ID: I20231214002889
Provider NameJasmine Belmonte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871153049
PECOS PAC ID: 6800231721
Enrollment ID: I20240301002609
Provider NameSvetlana Atenzon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891079943
PECOS PAC ID: 9133514821
Enrollment ID: I20240515002350
Provider NameMarshle Fontilus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740836865
PECOS PAC ID: 1254773146
Enrollment ID: I20240523001299
Provider NameRicardo Manabat Zamora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699514307
PECOS PAC ID: 7911441001
Enrollment ID: I20240701000465
Provider NameJilliane Mari Roa Borje
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407341936
PECOS PAC ID: 9830636752
Enrollment ID: I20240808003136
Provider NameAlexis Katrina Abella Miole
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750150488
PECOS PAC ID: 6800247800
Enrollment ID: I20240924001778
Provider NameSamantha Lulo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962005454
PECOS PAC ID: 3072044940
Enrollment ID: I20241002002242
Provider NameVirginia Rodriguez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1194331553
PECOS PAC ID: 3375074164
Enrollment ID: I20241003003020
Provider NameStephaniemarie Bibit
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831834092
PECOS PAC ID: 1658807573
Enrollment ID: I20241216000587

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. Homeside Rehab, Pt, Ot, Slp Llc 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
Homeside Rehab, Pt, Ot, Slp Llc
3911 Avenue P,
Brooklyn, NY 11234-3501

Ph: (718) 377-5000		Homeside Rehab, Pt, Ot, Slp Llc
3911 Avenue P,
Brooklyn, NY 11234-3501

Ph: (718) 377-5000

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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.