Teresa Depaoli, PT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

012777-1 Issued in NY

Practice address

56 June Rd
Box 662
North Salem, NY 10560-1702

Phone

(914) 669-9095

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salem Sports & Spine Physical Thearpy, PC

  • Orthopedic Physical Therapist
  • North Salem, NY
  • NPI 1053537407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1033349402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "address_2": "619 ROUTE 22",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "105190124",
            "telephone_number": "914-277-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JUNE RD",
            "address_2": "BOX 662",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601702",
            "telephone_number": "914-669-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLI",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "012777-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Based Services, Inc.
• Community Based Services, Inc.
• Community Based Services, Inc.
• Nancy Coyle
• Anne J Cunningham, MPS
• Dolores Duffy, LPN
• Etelka Eickelbeck
• Leslie Giselle Felsher, LCSW
• Daniel Flaumenhaft, LCSW
• Ford Chiropractic PLLC (Ford Chiropractic)

• Geriatric Physical Therapist in North Salem, NY
• Providers in North Salem, NY by specialty
• Geriatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.