Ellaine A Thomas (NPI# 1962540047, PAC ID# 4688801152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1962540047 |
| PAC ID by PECOS | 4688801152 |
| Professional Enrollment ID | I20131209001689 |
| Full Name | Ellaine A Thomas |
| Organization Legal Name | LIFESPIRE, INC. |
| Address |
5004 25th Ave Woodside NY 11377-7833 |
| Phone Number | 7184543584 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5496644015 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 83 Maiden Ln, Suite 5, New York, NY 10038-4812 | 2127802564 | NYSARC INC. NYC CHAPTER |
| 5004 25th Ave, Woodside, NY 11377-7833 | 7184543584 | LIFESPIRE, INC. |
| Organization Legal Name | LIFESPIRE, INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan R Ceron | Clinical Social Worker | Lifespire, Inc. | 159 E 125th St, Fl 2, New York, NY 10035-1716 |
| Jay B Kleinman | Clinical Social Worker | Lifespire, Inc. | 21301 Northern Blvd, Fl 2, Bayside, NY 11361-2978 |
| Udodirim Joy Ukwu | Clinical Social Worker | Lifespire, Inc. | 18410 Jamaica Ave, 5th, Hollis, NY 11423-2400 |
| Ellen C Kelly | Clinical Social Worker | Lifespire, Inc. | 159 E 125th St 2nd Fl, New York, NY 10035-1716 |
| Claudette E Coke | Clinical Social Worker | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Alena Hrybava | Qualified Speech Language Pathologist | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Alan M Fisher | Occupational Therapy | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Deborah J Marsh | Qualified Speech Language Pathologist | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Linda Villarson | Nurse Practitioner | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Leonard A Powell | Internal Medicine | Lifespire, Inc. | 159 E 125th St, Fl 2, New York, NY 10035-1716 |
| Street Address |
5004 25TH AVE |
| City | WOODSIDE |
| State | NY |
| Zip | 11377-7833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenys Hernandez | Physician Assistant | Mark Medical Care, Pllc | 64 05 Woodside Ave, 1st Floor, Woodside, NY 11377 |
| Nurkia A Mihu | Neurology | Angelina Mihu Md PC | 53 -14 Roosevelt Ave, 2nd Floor, Woodside, NY 11377 |
| Juan C Romero | Physical Therapy | 63 /17, Woodside, NY 11377 | |
| Vishwanath V Puttaswamygowda | Internal Medicine | 6914 41 St Ave, Unit C1, Woodside, NY 11377 | |
| Ramon R Pimentel | Internal Medicine | General Medical Services of Queens PC | 49 02 Queen Blvd, 3 Floor, Woodside, NY 11377 |
| Gloria J Dunnder-leacock | Family Practice | 3096 51st St, Woodside, NY 11377-1457 | |
| Ana Rheeda M Aguilar | Physical Therapy | 3211 55th St, Apt 1, Woodside, NY 11377-1906 | |
| Nenad Grlic | Emergency Medicine | 6918 32nd Ave, Woodside, NY 11377-2033 | |
| Aleem A Ali | Hospitalist | 6918 32nd Ave, Woodside, NY 11377-2033 | |
| Shamim Ahmed | Internal Medicine | Getwell Med-care PC | 6413 Broadway, Woodside, NY 11377-2336 |
| Find all physicians in zip 11377 | |||
| City | WOODSIDE |
| Zip Code | 11377 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WOODSIDE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.