Active NPI
Samuel Michael Cerone, MSPT
- Physical Therapist
- Walden, NY
National Provider Identifier
1053495176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0231371
- Practice address
- 152 Orange Ave
Walden, NY 12586 - Phone
- (845) 778-1552
- Fax
- (845) 778-7642
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- 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 | 0231371 | NY | Primary |
Addresses
Primary practice location
152 Orange Ave
Walden, NY 12586
Mailing address
18 Ridge St
Middletown, NY 10940
Phone (845) 342-5170
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0231371 | NY | MD | Physical Therapist |
| 023137 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naperville Eye Associates LTD | Past | Accepting new patients | |
| Jeroen Keessen | Physical Therapist | Past | Accepting new patients |
| Align Physical Therapy | Past | Accepting new patients | |
| LCL Physical Therapy | Physical Therapist | Past | Accepting new patients |
| LCL Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGIFBA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Newburgh, NY
- NPI 1356464218
-
dba Orange Physical Therapy
- Physical Therapist
- Middletown, NY
- NPI 1982700944
-
- Ophthalmology Physician
- Naperville, IL
- NPI 1013099670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053495176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 RIDGE ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-342-5170",
"fax_number": "845-343-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 ORANGE AVE",
"city": "WALDEN",
"state": "NY",
"postal_code": "12586",
"telephone_number": "845-778-1552",
"fax_number": "845-778-7642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERONE",
"first_name": "SAMUEL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0231371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.