Individual provider Active NPI

Marie-Noelle Falardeau, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1093708703
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0085041 Issued in NY
Practice address
920 Broadway
Suite 817
New York, NY 10010-6004
Phone
(917) 204-4479
Fax
(888) 265-3869
NPI assigned
Aug 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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 0085041 NY Primary

Addresses

Primary practice location

920 Broadway
Suite 817
New York, NY 10010-6004

Mailing address

Cooper Station
PO Box 1462
New York, NY 10276-1462
Phone (917) 204-4479

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
008504NYMDMental Health Counselor
0085041NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Resiliency Resources, Inc. PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1093708703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COOPER STATION",
            "address_2": "PO BOX 1462",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102761462",
            "telephone_number": "917-204-4479",
            "fax_number": "888-265-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BROADWAY",
            "address_2": "SUITE 817",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106004",
            "telephone_number": "917-204-4479",
            "fax_number": "888-265-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALARDEAU",
        "first_name": "MARIE-NOELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-27",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0085041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.