Active NPI
Cheryl Damilatis
- Pediatric Physical Therapist
- Scarsdale, NY
National Provider Identifier
1043846355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 031589
- Practice address
- 495 Central Park Ave Ste 206
Scarsdale, NY 10583-1038 - Phone
- (201) 805-3012
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 031589 | NY | Primary |
Addresses
Primary practice location
495 Central Park Ave Ste 206
Scarsdale, NY 10583-1038
Mailing address
25 Bank St Apt 210H
White Plains, NY 10606-7004
Phone (201) 805-3012
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 |
|---|---|---|---|
| 031589 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1043846355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BANK ST APT 210H",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106067004",
"telephone_number": "201-805-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 CENTRAL PARK AVE STE 206",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831038",
"telephone_number": "201-805-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMILATIS",
"first_name": "CHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "031589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.