Bayside Acupuncture & Physical Therapy PLLC
NPI 1205364239ActiveOrganization· Physical Therapist· Bayside, NY
Physical Therapist in Bayside, New York, registered in NPPES in June 2017. The authorized official on file is Marievic Balaag Ebora Fernando, PT, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205364239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Feb 24, 2020 |
| Reactivated | Jul 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 034901 | NY |
| Acupuncturist | 171100000X | 005738 | NY |
| Massage Therapist | 225700000X | 027555 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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