MEDICARE: ATHENA A BELLMAINE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	027334-1	NY

General Provider Information

NPI Number	:	1245452036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHENA A BELLMAINE PT

Provider Business Mailing Address
First Line	:	90 NORTHERN BLVD
Second Line	:	C/O EQUINOX
City	:	GREENVALE
State	:	NY
Zip	:	11548-1213
Country	:	US
Telephone Number	:	516-626-5080
Fax Number	:	516-626-5081

Provider Business Practice Location Address
First Line	:	90 NORTHERN BLVD
Second Line	:	C/O EQUINOX
City	:	GREENVALE
State	:	NY
Zip	:	11548-1213
Country	:	US
Telephone Number	:	516-626-5080
Fax Number	:	516-626-5081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/01/2012

Similar Medicare Providers

1063344166 — LOUIS RUBINO
Practice Location Address:

90 NORTHERN BLVD
GREENVALE, NY
11548-1213

Practice Phone: 516-862-2668
Practice Fax:

1104872902 — ROBERT BRENNAN PT
Practice Location Address:

90 NORTHERN BLVD , UNIT 6
GREENVALE, NY
11548-1213

Practice Phone: 516-626-5080
Practice Fax: 516-626-5081

1275589574 — LAURA CAVALCANTE PT
Practice Location Address:

90 NORTHERN BLVD , UNIT 6
GREENVALE, NY
11548-1213

Practice Phone: 516-626-5080
Practice Fax: 516-626-5081

1699887992 — PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Practice Location Address:

90 NORTHERN BLVD UNIT 6 , C/O EQUINOX
GREENVALE, NY
11548-1213

Practice Phone: 516-626-5080
Practice Fax: 516-626-5081

1871754366 — MS. LAEL ROYE ATC
Practice Location Address:

90 NORTHERN BLVD
GREENVALE, NY
11548-1213

Practice Phone: 516-626-5080
Practice Fax:

1639324379 — CRYSTAL MILLER PT
Practice Location Address:

90 NORTHERN BLVD UNIT 6
GREENVALE, NY
11548-1213

Practice Phone: 516-626-5080
Practice Fax: 516-626-5081

Directions to “ ATHENA A BELLMAINE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.