Active NPI
Romulo Reyes Constantino, PT
- Physical Therapist
- Beacon, NY
National Provider Identifier
1043440985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010470-1
- Practice address
- 22 Robert R Kasin Way
Beacon, NY 12508-1559 - Phone
- (845) 231-5791
- Fax
- (845) 231-5746
- NPI assigned
- Jul 24, 2009
- Last updated
- Jul 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010470-1 | NY | Primary |
Addresses
Primary practice location
22 Robert R Kasin Way
Beacon, NY 12508-1559
Mailing address
22 Robert R. Kasin Way
Beacon, NY 12508
Phone (845) 231-5791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010470-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1043440985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ROBERT R. KASIN WAY",
"city": "BEACON",
"state": "NY",
"postal_code": "12508",
"telephone_number": "845-231-5791",
"fax_number": "845-231-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROBERT R KASIN WAY",
"city": "BEACON",
"state": "NY",
"postal_code": "125081559",
"telephone_number": "845-231-5791",
"fax_number": "845-231-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTINO",
"first_name": "ROMULO",
"middle_name": "REYES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010470-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.