Dorothy Joy Pedrena Racimo
Physical Therapist in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1124156948
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1124156948
- Entity type
- Individual (NPI-1)
- Name
- Dorothy Joy Pedrena Racimo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 023114 | NY | Yes |
Practice location
103 Terrace BlvdNew Hyde Park, NY 11040-4330
Phone 347-610-5761
Mailing address
103 Terrace BlvdNew Hyde Park, NY 11040-4330
Phone 347-610-5761
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