JUDITH VILLAVICENCIO PT
NPI 1922958735
Physical Therapist - Geriatrics in Franklin Square, NY

Active since January 31, 2026Accepts Medicare Assignment
63 HARRISON AVE, FRANKLIN SQUARE, NY 11010(646) 525-7774 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Judith Villavicencio Pt NPPES

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

JUDITH VILLAVICENCIO PT (NPI 1922958735) is an individual geriatrics provider in Franklin Square, New York, licensed in New York (027711-01) and active in the NPI registry since January 2026. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1922958735
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameJUDITH VILLAVICENCIOCredential: PT
Location Address63 HARRISON AVEFranklin Square, NY 11010-3614
Mailing Address63 Harrison AveFranklin Square, NY 11010-3614 · (646) 525-7774
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 31, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1922958735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NY · 027711-01
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
63 HARRISON AVE, Franklin Square, NY 11010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith Villavicencio Pt 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 ID4981189115
PECOS Enrollment IDI20260326000711

Medicare Billing Reassignments

3

Medicare enrollment records show Judith Villavicencio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group
Physical Therapist
2579 OCEAN AVE FL 3
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 446 clinicians in this Medicare group
Physical Therapist
1 BLUE HILL PLZ STE 1509
Pearl River, NY 10965
  • Reassigned Medicare billing, New York enrollment
  • 276 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 Judith Villavicencio's NPI number?

The NPI number for Judith Villavicencio is 1922958735. It was assigned to this individual provider in the NPPES registry on January 31, 2026.

Where is Judith Villavicencio located?

Judith Villavicencio practices at 63 Harrison Ave, Franklin Square, NY 11010. The listed phone number is (646) 525-7774.

What is Judith Villavicencio's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Judith Villavicencio enrolled in Medicare?

Yes. Judith Villavicencio 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.

Which organizations bill Medicare for Judith Villavicencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Villavicencio reassigns Medicare benefits to 3 organizations: Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY), New York Physical And Occupational Therapy Services, PLLC (Brooklyn, NY) and New York Luna Care Physical Therapy PLLC (Pearl River, NY). Each 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 Judith Villavicencio'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 Judith Villavicencio was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.