GLEA VANESSA DUENAS PAVILLAR
NPI 1659028413
Physical Therapist in Springfield Gardens, NY

Active since March 02, 2022
217-26 138TH ROAD, SPRINGFIELD GARDENS, NY 11413(240) 887-2445 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Glea Vanessa Duenas Pavillar NPPES

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

GLEA VANESSA DUENAS PAVILLAR (NPI 1659028413) is an individual physical therapist in Springfield Gardens, New York, licensed in New York (012043) and active in the NPI registry since March 2022. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1659028413
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGLEA VANESSA DUENAS PAVILLAR
Location Address217-26 138TH ROADSpringfield Gardens, NY 11413
Mailing Address217-26 138th RoadSpringfield Gardens, NY 11413 · (240) 887-2445
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
✔ NPI 1659028413 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 · 012043
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.
217-26 138TH ROAD, Springfield Gardens, NY 11413

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glea Vanessa Duenas Pavillar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153898010
PECOS Enrollment IDI20260428002536

Medicare Billing Reassignment

Medicare enrollment records show Glea Vanessa Pavillar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2375 OCEAN AVE APT 2F
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group

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 Glea Vanessa Pavillar's NPI number?

The NPI number for Glea Vanessa Pavillar is 1659028413. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Glea Vanessa Pavillar located?

Glea Vanessa Pavillar practices at 217-26 138th Road, Springfield Gardens, NY 11413. The listed phone number is (240) 887-2445.

What is Glea Vanessa Pavillar's specialty?

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

Is Glea Vanessa Pavillar enrolled in Medicare?

Yes. Glea Vanessa Pavillar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glea Vanessa Pavillar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glea Vanessa Pavillar reassigns Medicare benefits to Rise Up Rehab Physical Therapy PLLC (Brooklyn, NY). The 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 Glea Vanessa Pavillar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glea Vanessa Pavillar was last updated on March 2, 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.