Individual provider Active NPI

Michael S Badalamente, PT

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1073591244
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0120020 Issued in NY
Practice address
326 Main St
Farmingdale Physical Therapy
Farmingdale, NY 11735
Phone
(516) 293-0565
Fax
(516) 293-1897
NPI assigned
Jan 6, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0120020 NY Primary

Addresses

Primary practice location

326 Main St
Farmingdale Physical Therapy
Farmingdale, NY 11735

Mailing address

326 Main St
Farmingdale Physical Therapy
Farmingdale, NY 11735
Phone (516) 293-0565

Other identifiers 5

IdentifierTypeStateIssuer
012002OtherHIP
90754OtherAETNA
64128OtherVYTRA
P00429040OtherNYRR MEDICARE
2C2669OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603001040 NY Practitioner - Physical Therapist in Private Practice 4789627340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmingdale Physical Therapy East LLCGroup PAC ID 3870770589, 2 clinicians

Practice addresses (Care Compare)

326 Main St
Farmingdale, NY 11735-3507
Phone (516) 293-0565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0120020NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmingdale Physical Therapy East LLC Physical Therapist CurrentSince May 1, 2011 Accepting new patients
Farmingdale Physical Therapy Assoc PC Past Accepting new patients

Locations

326 Main St
Farmingdale, NY 11735
Phone (516) 293-0565

326 Main St
#328
Farmingdale, NY 11735
Phone (516) 293-0565

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1073591244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "address_2": "FARMINGDALE PHYSICAL THERAPY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "516-293-0565",
            "fax_number": "516-293-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "address_2": "FARMINGDALE PHYSICAL THERAPY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "516-293-0565",
            "fax_number": "516-293-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALAMENTE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0120020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "012002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "90754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "64128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00429040",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C2669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.