Active NPI
Daniella Pusateri, ATC
- Kinesiotherapist
- Greenvale, NY
National Provider Identifier
1053870444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 2000023731
- Practice address
- 90 Northern Blvd
Greenvale, NY 11548-1213 - Phone
- (516) 626-5082
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 2000023731 | Primary |
Addresses
Primary practice location
90 Northern Blvd
Greenvale, NY 11548-1213
Mailing address
24 Kevin Rd
Commack, NY 11725-2714
Phone (631) 219-0770
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1053870444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 KEVIN RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252714",
"telephone_number": "631-219-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 NORTHERN BLVD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481213",
"telephone_number": "516-626-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUSATERI",
"first_name": "DANIELLA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": "2000023731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.