Active NPI
David Disalvo, DPT
- Physical Therapist
- Massena, NY
National Provider Identifier
1083969117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044649
- Practice address
- MH Outpatient Ctr/Physical Therapy
271 Andrews St, Suite 269
Massena, NY 13662 - Phone
- (315) 769-8950
- NPI assigned
- Jul 15, 2012
- Last updated
- Jan 16, 2020
- 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 | 044649 | NY | Primary |
Addresses
Primary practice location
MH Outpatient Ctr/Physical Therapy
271 Andrews St, Suite 269
Massena, NY 13662
Mailing address
1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1125 CR
Suite 34
Potsdam, NY 13676
14 Garfield Rd
Potsdam, NY 13676-3480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044649 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massena Hospital, Inc | Past | Accepting new patients |
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.
-
- Physical Therapist
- Potsdam, NY
- NPI 1972667533
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1083969117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621056",
"telephone_number": "315-769-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MH OUTPATIENT CTR/PHYSICAL THERAPY",
"address_2": "271 ANDREWS ST, SUITE 269",
"city": "MASSENA",
"state": "NY",
"postal_code": "13662",
"telephone_number": "315-769-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISALVO",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-15",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.