MYRTZ MELODY REVESENCIO SEVILLA (NPI# 1386264224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386264224 |
Entity Type | Individual |
Full Name | MYRTZ MELODY REVESENCIO SEVILLA |
Practice Address |
160 Beach 99th St Rockaway Park NY 11694-2807 |
Practice Telephone | 9165133907 |
Mailing Telephone | 9165133907 |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251H1200X |
Physical Therapist Specialization: Hand |
24692 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
160 BEACH 99TH ST |
City | ROCKAWAY PARK |
State | NY |
Zip Code | 11694-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235775941 | Shrok Sayed Elsayed | Physical Therapist | 234 Beach 124th St, Rockaway Park, NY 11694 | 2019-11-18 |
1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
1275026684 | Aba Tree | Behavioral Analyst | 142 B120 Street, Rockaway Street, NY 11694 | 2018-06-11 |
1235640855 | Rockaways Asc Development, LLC. | Clinic/Center | 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 | 2017-10-23 |
1841721479 | Mary Mongelli | Behavioral Analyst | 414 Beach124 Street, Belle Harbor, NY 11694 | 2017-03-24 |
1033659495 | Tri Center | Community/Behavioral Health | 2488 Grand Concourse Suite 417, Bronx, NY 11694 | 2017-03-06 |
1083079446 | Bernadette Favard | Licensed Practical Nurse | 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 | 2015-12-29 |
1801231808 | Matthew Tagliavia | Pharmacist | 449 Beach 129th St, Belle Harbor, NY 11694 | 2013-05-03 |
1831445436 | Megan Leigh Hill | Social Worker | 140 Beach 112th St, Rockaway Park, NY 11694 | 2012-08-01 |
1710241112 | Scott Blutstein | Specialist | 411 Beach 133 Street, Rockaway Park, NY 11694 | 2012-06-29 |
Find all providers in zip 11694 |
Taxonomy Code | 2251H1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161778 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 2608 Merrick Rd, Bellmore, NY 11710-5715 | 2020-07-12 |
1083258560 | Anita Dantzig | Physical Therapist | 14 Technology Dr Ste 5, East Setauket, NY 11733-3469 | 2019-10-29 |
1891044418 | Hand & Rehabilitation Specialists Ot Pt Slp Pllc | Physical Therapist | 5144 Sheridan Dr Ste 2, Williamsville, NY 14221-4653 | 2012-08-29 |
1235364597 | Cindy Becker | Physical Therapist | 570 Cedar Hill Rd, Far Rockaway, NY 11691 | 2009-05-15 |
1982880415 | Medina Fitness & Rehab, P.t. P.C. | Physical Therapist | 5912 Riverdale Ave, Bronx, NY 10471-1603 | 2008-01-15 |
1447286349 | Northeast Rehabilitation, Inc. | Physical Therapist | 150 South Pearl Street, Suite A, Pearl River, NY 10965 | 2006-06-23 |
1730702416 | Muireann Nic Eochaidh | Physical Therapist | 535 E 70th St, New York, NY 10021-4823 | 2020-05-28 |
1326670159 | Spear Physical and Occupational Therapy, LLC | Physical Therapist | 70 Pine St, New York, NY 10005-1522 | 2020-02-10 |
1265062731 | Spear Physical and Occupational Therapy, LLC | Physical Therapist | 729 7th Ave, Fl 12, New York, NY 10019-6892 | 2020-01-23 |
1104456904 | Spear Physical and Occupational Therapy, LLC | Physical Therapist | 794 Union St, Brooklyn, NY 11215-7724 | 2020-01-21 |
Find all providers with the same taxonomy |
City | ROCKAWAY PARK |
Zip Code | 11694 |
Please comment or provide details below to improve the information on MYRTZ MELODY REVESENCIO SEVILLA.
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.