Individual ProviderMaria Luisa YbanezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address184 Jamie Ln, Staten Island, NY 10312-6614(646) 403-0510(718) 637-4603PECOS EnrollmentBased on the most recent information from CMS, provider Maria Luisa Ybanez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1417268129Provider TypeIndividualFull NameYbanez, Maria LuisaCredentialPTGenderFemaleSole ProprietorNoEnumeration Date6/28/2010Last Updated1/2/2017Contact InformationPractice LocationPractice Address184 Jamie Ln, Staten Island, NY 10312-6614Phone(646) 403-0510FaxUnlisted FaxMailing LocationMailing Address112 Bidwell Ave, Staten Island, NY 10314-3177Phone(718) 637-4603Fax(718) 448-8287Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense023614-1New York