STANLEY PARK PHYSICAL THERAPY, P.C.
NPI 1093141533
Clinic/Center - Physical Therapy in Bayside, NY
About Stanley Park Physical Therapy, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY PARK PHYSICAL THERAPY, P.C. (NPI 1093141533), doing business as Bell Physical Therapy & Rehabilitation, is a healthcare organization registered as a physical therapy in Bayside, New York and active in the NPI registry since September 2013. The organization lists Sejoong Park, Physical Therapist/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanley Park Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stanley Park Physical Therapy, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stanley Park Physical Therapy, P.C.'s NPI number?
The NPI number for Stanley Park Physical Therapy, P.C. is 1093141533. It was assigned to this organization in the NPPES registry on September 16, 2013. The provider is doing business as Bell Physical Therapy & Rehabilitation.
Where is Stanley Park Physical Therapy, P.C. located?
Stanley Park Physical Therapy, P.C. is located at 4711 Bell Blvd, Bayside, NY 11361. The listed phone number is (718) 423-5100.
What is Stanley Park Physical Therapy, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Stanley Park Physical Therapy, P.C. enrolled in Medicare?
Yes. Stanley Park Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stanley Park Physical Therapy, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Stanley Park Physical Therapy, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stanley Park Physical Therapy, P.C. was last updated on March 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stanley Park Physical Therapy, P.c. · NPI 1093141533
Physical Therapy organization in Bayside, New York. Organization record, active in the CMS NPPES registry since September 16, 2013.
## Identity
- **NPI:** 1093141533 (Entity type: Organization)
- **Enumerated:** September 16, 2013
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Also known as:** Bell Physical Therapy & Rehabilitation (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sejoong Park, PHYSICAL THERAPIST/PRESIDENT
## Practice location
- **Address:** 4711 BELL BLVD, Bayside, NY 11361-3333
- **Phone:** (718) 423-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2025
- **Other identifiers:** Medicaid 04029030 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093141533) · Data from the CMS NPPES public registry.