Individual provider Active NPI

Denise Helena Busiello

  • Physical Therapy Assistant
  • East Hampton, NY
National Provider Identifier
1073300406
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
008074 Issued in NY
Practice address
300 Pantigo PL Ste 112
East Hampton, NY 11937-5927
Phone
(631) 504-8045
NPI assigned
Apr 21, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 008074 NY Primary

Addresses

Primary practice location

300 Pantigo PL Ste 112
East Hampton, NY 11937-5927

Mailing address

50 Laurel TRL
Sag Harbor, NY 11963-2413
Phone (631) 504-8045

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

LicenseStateTypeSpecialty
008074NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1073300406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAUREL TRL",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119632413",
            "telephone_number": "631-504-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PANTIGO PL STE 112",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375927",
            "telephone_number": "631-504-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSIELLO",
        "first_name": "DENISE",
        "middle_name": "HELENA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.