Individual provider Active NPI

John M Scalamandre, PT DPT

  • Physical Therapist
  • Riverhead, NY
National Provider Identifier
1073609632
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0138951 Issued in NY
Practice address
185 Old Country Rd
Suite 4
Riverhead, NY 11901
Phone
(631) 208-4443
Fax
(631) 208-4448
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 0138951 NY Primary

Addresses

Primary practice location

185 Old Country Rd
Suite 4
Riverhead, NY 11901

Mailing address

185 Old Country Rd
Suite 4
Riverhead, NY 11901
Phone (631) 208-4443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000814 NY Practitioner - Physical Therapist in Private Practice 2961454012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14265CTMDClinical Social Worker
0138951NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational and Speech Therapy of CT LLC Physical Therapist CurrentSince Apr 7, 2024 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Jun 12, 2018 Accepting new patients
Island Physical Therapy of Riverhead CurrentSince Nov 1, 2001 Accepting new patients

Locations

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533

3153 Albany Post Rd
Buchanan, NY 10511
Phone (914) 737-2701

74 Hauppauge Rd
Rm 43
Commack, NY 11725
Phone (516) 680-1640

15 Frowein Rd
Bldg A1
Ctr Moriches, NY 11934
Phone (631) 617-6265

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

18 E Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 418-8283

259 Walt Whitman Rd
Huntington Station, NY 11746
Phone (516) 738-4844

3135 Long BCH Rd
Oceanside, NY 11572

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662

1500 Route 112
Bldg 9
Port Jefferson Station, NY 11776
Phone (631) 849-6688

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313

185 Old Country Rd
Ste 4
Riverhead, NY 11901
Phone (631) 208-4443

745 Route 25A
Rocky Point, NY 11778
Phone (516) 457-6387

15 Foster Ave
Sayville, NY 11782
Phone (631) 589-9010

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1073609632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-208-4443",
            "fax_number": "631-208-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-208-4443",
            "fax_number": "631-208-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALAMANDRE",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0138951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.