KEITH WEINBERG DPT, PT
NPI 1376322511
Physical Therapist in Great Neck, NY

NPI Status: Active since September 27, 2023

Contact Information

90 E SHORE RD
GREAT NECK, NY
ZIP 11023
Phone: (516) 274-7035

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  • Individual
  • Male
  • Years of Experience 3
  • Physical Therapist
  • Accepts Medicare Approved Payment

About KEITH WEINBERG

This page provides the complete NPI Profile along with additional information for Keith Weinberg, a provider established in Great Neck, New York with a medical specialization in Physical Therapist and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1376322511 assigned on September 2023. The practitioner's primary taxonomy code is 225100000X with license number 050912-01 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1376322511
Provider Name
KEITH WEINBERG DPT, PT
Gender
Male
Entity Type
Individual
Location Address
90 E SHORE RD GREAT NECK, NY 11023
Location Phone
(516) 274-7035
Mailing Address
31 E 32ND ST FL 4 NEW YORK, NY 10016
Mailing Phone
(212) 759-2282
Mailing Fax
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
09-27-2023
Last Update Date
09-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
050912-01
License State
NY
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Keith Weinberg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1153776992

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231013000660

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $26.26 for a new patient copayment and $20.86 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11023 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $83.44
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $20.86
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376322511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314662452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 6 + 2 + 4 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376322511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952656845 CHRISTOPHER M MCCUTCHAN DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1497009369 JUSTIN DEREK HARBST ATC
Individual
Specialist/Technologist (Athletic Trainer)90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1407301450 JAMIE MOTT DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1679022446 ROBERT GARRICK PT, DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1255881058PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Organization
Occupational Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1871128272 VITO GRIPPI
Individual
Physical Therapy Assistant90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1871144139 GRACE EUNBI SONG DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122
1710677083 CHRISTOPHER DOSS PT, DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 274-7035
1487382529 TESSY PHILIP PT, DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 274-7035
1386137610 DARA CLAIRE DANTZLER DPT
Individual
Physical Therapist90 E SHORE RD
GREAT NECK, NY 11023
(516) 684-1122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376322511, enumerated in the NPI registry as an "individual" on September 27, 2023

The provider is located at 90 E Shore Rd Great Neck, Ny 11023 and the phone number is (516) 274-7035

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 3 years of experience.

Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $83.44 and an average copayment of 20.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.