INESSA PATINA (DPT) – Physical Therapist, NPI 1154422483

INESSA PATINA (DPT) is a healthcare provider. based in Morganville, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 027006-1 (NY). The NPI Number for INESSA PATINA (DPT) is 1154422483

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
INESSA PATINA (DPT)
NPI
1154422483
Phone
(917) 309-2582
Address
160 NATHAN DR
Enumeration Date
26 September 2006
Last Update Date
28 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182346767
Graduation Year
2004 (22 years ago)
PAC ID
9638111974
Group Practice PAC ID
0345131017
Professional Enrollment ID
I20050526000091
Address ID
NY112044072BR6417XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

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Provider Addresses for INESSA PATINA (DPT)

  • 160 NATHAN DR

    MORGANVILLE, NJ 077512238

    Phone: (917) 309-2582

    Type: Mailing

  • Popeyes, 6417, Bay Parkway, Brooklyn, Kings County, New York, 11204, United States

    BROOKLYN, NY 112043930

    Phone: (718) 234-6767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050526000091IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07751)

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Provider's Procedures

INESSA PATINA (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNY97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes92077

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345131017View full group profile
NameSpecialtyState
Family PracticeNY
Physical Medicine And Rehabilitation, Pain ManagementNY

Reviews

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Frequently asked questions

What is INESSA PATINA (DPT)'s NPI number?
INESSA PATINA (DPT)'s NPI is 1154422483 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to INESSA PATINA (DPT)?
You should see INESSA PATINA (DPT) as active in CMS-hosted NPPES data.
What kind of doctor is INESSA PATINA (DPT)?
INESSA PATINA (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for INESSA PATINA (DPT)?
Travel planning: use Morganville, New Jersey as the reference point for INESSA PATINA (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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