MARC S SHEINBLUM DPT
NPI 1295019636
Physical Therapist in East Patchogue, NY

Active since October 04, 2011Accepts Medicare Assignment
95.82/100
CMS Quality Rating
100 HOSPITAL RD, SUITE 112, EAST PATCHOGUE, NY 11772(631) 456-5512(631) 456-5514 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc S Sheinblum Dpt NPPES

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

MARC S SHEINBLUM DPT (NPI 1295019636) is an individual physical therapist in East Patchogue, New York, licensed in New York (034220-1) and active in the NPI registry since October 2011. He is a graduate of State University Of New York At Stony Brook, School Of Medicine (2011).

NPPES Registry Identity

NPI1295019636
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMARC S SHEINBLUMCredential: DPT
Location Address100 HOSPITAL RD, SUITE 112East Patchogue, NY 11772-8809
Mailing Address201 Seminole StRonkonkoma, NY 11779-4631 · (631) 456-5512 · Fax (631) 456-5514
Fax(631) 456-5514
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2011
Enumeration DateOctober 4, 2011
NPI 1295019636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 034220-1
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

100 HOSPITAL RD, East Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marc S Sheinblum Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628241031
PECOS Enrollment IDI20111031000771

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,324 services186 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
941 services192 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
250 services71 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
183 services56 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
80 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.09
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
Anesthesiology
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Surgery
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Family Medicine
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
General Practice
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
Physical Therapist
100 HOSPITAL RD, SUITE 112
EAST PATCHOGUE, NY 11772
Family Medicine
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
General Acute Care Hospital
100 HOSPITAL RD
PATCHOGUE, NY 11772

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 Marc Sheinblum's NPI number?

The NPI number for Marc Sheinblum is 1295019636. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Marc Sheinblum located?

Marc Sheinblum practices at 100 Hospital Rd Suite 112, East Patchogue, NY 11772. The listed phone number is (631) 456-5512.

What is Marc Sheinblum's specialty?

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

Is Marc Sheinblum enrolled in Medicare?

Yes. Marc Sheinblum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marc Sheinblum was last updated on October 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.