Active NPI
Robert Pesci, DPT
- Specialist
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 029487-1
- Practice address
- 1061 N Broadway
Massapequa, NY 11758-1802 - Phone
- (516) 454-6387
- Fax
- (516) 454-6303
- NPI assigned
- Jul 31, 2007
- Last updated
- Jul 10, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 029487-1 | NY | Primary |
Addresses
Primary practice location
1061 N Broadway
Massapequa, NY 11758-1802
Mailing address
1061 N Broadway
Massapequa, NY 11758-1802
Phone (516) 454-6387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11859214 | Other | NY | CAQH |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
256 N Wellwood Ave
Lindenhurst, NY 11757-3707
Phone (631) 957-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029487-1 | NY | MD | Specialist |
| 029487 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massapequa PT & Pta PLLC | Current | Accepting new patients | |
| Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC | Current | Accepting new patients | |
| Lindenhurst PT & Pta PLLC | Current | Accepting new patients | |
| Sherrie Glasser Physical Therapy/John Douglas Pta | Specialist | Past | Accepting new patients |
| Speonk Physical Therapy | Past | Accepting new patients | |
| Plainview Physical Therapy, PC | Past | Accepting new patients |
Locations
2848 Middle Country Rd
Lake Grove, NY 11755
Phone (631) 648-8835
256 N Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 226-3380
1061 N Broadway
North Massapequa, NY 11758
Phone (516) 420-4300
913 N Broadway
North Massapequa, NY 11758
Phone (516) 454-6387
Organizations & group practices 6
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.
-
dba Lindenhurst Physical Therapy
- Physical Therapist
- N Massapequa, NY
- NPI 1972747707
-
dba Pequa Physical & Aquatic Therapy, PLLC
- Physical Therapist
- N Massapequa, NY
- NPI 1316246895
-
- Physical Therapist
- Holbrook, NY
- NPI 1326355132
-
- Physical Therapist
- Plainview, NY
- NPI 1780626309
-
dba Metro Comprehensive Physical Therapy
- Specialist
- Nesconset, NY
- NPI 1205019403
-
- Physical Therapist
- Speonk, NY
- NPI 1730216409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1093905531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 N BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581802",
"telephone_number": "516-454-6387",
"fax_number": "516-454-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 N BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581802",
"telephone_number": "516-454-6387",
"fax_number": "516-454-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESCI",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "029487-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11859214",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.