BAYSIDE ACUPUNCTURE & PHYSICAL THERAPY PLLC
NPI 1205364239
Physical Therapist in Bayside, NY

Active since June 04, 2017
20801 NORTHERN BLVD STE 301, BAYSIDE, NY 11361(718) 224-2250(917) 398-1875 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Feb 24, 2020, Jul 14, 2018 and 1 more (4 updates tracked since 2017).

About Bayside Acupuncture & Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSIDE ACUPUNCTURE & PHYSICAL THERAPY PLLC (NPI 1205364239) is a healthcare organization registered as a physical therapist in Bayside, New York and active in the NPI registry since June 2017. The organization lists Marievic Balaag Ebora Fernando, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1205364239
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBAYSIDE ACUPUNCTURE & PHYSICAL THERAPY PLLC
Location Address20801 NORTHERN BLVD STE 301Bayside, NY 11361-3118
Mailing Address20801 Northern Blvd Ste 301Bayside, NY 11361-3118 · (718) 224-2250 · Fax (917) 398-1875
Fax(917) 398-1875
Organization SubpartNo
Authorized OfficialMarievic Balaag Ebora FernandoManaging Member · (718) 224-2250
Enumeration DateJune 4, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2020
✔ NPI 1205364239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 034901
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedAcupuncturistTaxonomy 171100000X · License 005738 (NY)
Also ListedMassage TherapistTaxonomy 225700000X · License 027555 (NY)
20801 NORTHERN BLVD STE 301, Bayside, NY 11361

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bayside Acupuncture & Physical Therapy Pllc 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 Bayside Acupuncture & Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1114706082
7400 RIVER RD APT 310
North Bergen, NJ 07047
(617) 817-5979
✔ Accepts Medicare12 mi

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 Bayside Acupuncture & Physical Therapy PLLC's NPI number?

The NPI number for Bayside Acupuncture & Physical Therapy PLLC is 1205364239. It was assigned to this organization in the NPPES registry on June 4, 2017.

Where is Bayside Acupuncture & Physical Therapy PLLC located?

Bayside Acupuncture & Physical Therapy PLLC is located at 20801 Northern Blvd Ste 301, Bayside, NY 11361. The listed phone number is (718) 224-2250.

What is Bayside Acupuncture & Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Bayside Acupuncture & Physical Therapy PLLC enrolled in Medicare?

Yes. Bayside Acupuncture & Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayside Acupuncture & Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Bayside Acupuncture & Physical Therapy PLLC. 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 Bayside Acupuncture & Physical Therapy PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.