Roseann J Puthiyamadam, PT, MSED ,PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023989 Issued in NY

Practice address

440 Mamaroneck Ave
Harrison, NY 10528-2418

Phone

(914) 777-3654

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1164561122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DONALD DR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063623",
            "telephone_number": "914-310-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282418",
            "telephone_number": "914-777-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHIYAMADAM",
        "first_name": "ROSEANN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT, MSED ,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17712",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Potash, LMHC-LP
• Michelle Prakash, MD
• Nicoleen Prince-Burrell
• Diana C. Pugliese Trochez, LMSW
• Elizabeth A Puma
• Maria Cecylia Pytel
• Shirley B Quinnell-Friedlander, LCSW-R
• Trevor Quinones, CASAC
• Daniella Qureishi, LCAT-LP
• Ons Rabadi, RN

• Physical Therapist in Harrison, NY
• Providers in Harrison, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.