Mary Rose L Custodio
NPI 1740388412 · Physical Therapist · Brooklyn, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Rose L Custodio is a Physical Therapist provider in Brooklyn, NY (NPI 1740388412).
Provider details
- NPI number
- 1740388412
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 026493-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2009-03-10
Frequently asked questions
- What is Mary Rose L Custodio's NPI number?
- Mary Rose L Custodio's National Provider Identifier (NPI) is 1740388412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Rose L Custodio's specialty?
- Mary Rose L Custodio is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mary Rose L Custodio located?
- Mary Rose L Custodio's practice location on file with NPPES is 1508 Avenue U, Brooklyn, NY 11229-3808.
- What is Mary Rose L Custodio's phone number?
- The practice phone number listed in the NPPES registry for Mary Rose L Custodio is (718) 376-3383.
- Does Mary Rose L Custodio accept Medicare?
- Mary Rose L Custodio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Rose L Custodio's NPI active?
- Yes — Mary Rose L Custodio's NPI (1740388412) is active in the NPPES registry as of the last update on 2009-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.