ST TEREIZA OFF OF PHY TER PC
NPI 1568657575
Specialist in Centereach, NY
About St Tereiza Off Of Phy Ter Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST TEREIZA OFF OF PHY TER PC (NPI 1568657575) is a healthcare organization registered as a specialist in Centereach, New York and active in the NPI registry since September 2007. The organization lists Malak Ishak Azab, Doctor Of Physical Therapy, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
St Tereiza Off Of Phy Ter Pc 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 St Tereiza Off Of Phy Ter PC, 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 St Tereiza Off Of Phy Ter PC's NPI number?
The NPI number for St Tereiza Off Of Phy Ter PC is 1568657575. It was assigned to this organization in the NPPES registry on September 12, 2007.
Where is St Tereiza Off Of Phy Ter PC located?
St Tereiza Off Of Phy Ter PC is located at 1787 Middle Country Rd, Centereach, NY 11720. The listed phone number is (631) 467-3381.
What is St Tereiza Off Of Phy Ter PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is St Tereiza Off Of Phy Ter PC enrolled in Medicare?
Yes. St Tereiza Off Of Phy Ter PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Tereiza Off Of Phy Ter PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to St Tereiza Off Of Phy Ter PC. 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 St Tereiza Off Of Phy Ter PC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# St Tereiza Off Of Phy Ter Pc · NPI 1568657575
Specialist organization in Centereach, New York. Organization record, active in the CMS NPPES registry since September 12, 2007.
## Identity
- **NPI:** 1568657575 (Entity type: Organization)
- **Enumerated:** September 12, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Malak Azab, DOCTOR OF PHYSICAL THERAPY
## Practice location
- **Address:** 1787 MIDDLE COUNTRY RD, Centereach, NY 11720-3507
- **Phone:** (631) 467-3381 · **Fax:** (631) 467-3383
## 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:** June 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568657575) · Data from the CMS NPPES public registry.