Active NPI
Salvattore L Portocarrero, PT
- Physical Therapist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042673
- Practice address
- 57 W Burnside Ave # 69
Bronx, NY 10453-4038 - Phone
- (718) 716-4400
- Fax
- (718) 924-2678
- NPI assigned
- Dec 28, 2017
- 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 | 042673 | NY | Primary |
Addresses
Primary practice location
57 W Burnside Ave # 69
Bronx, NY 10453-4038
Mailing address
85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180222002096 | NY | Practitioner - Physical Therapist in Private Practice | 6507127123 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hudson in Home Physical Therapy PLLC
Practice addresses (Care Compare)
1 Blackstone PL
Bronx, NY 10471-3607
Phone (347) 947-3132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042673 | NY | MD | Physical Therapist |
Practice roles (10 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson in Home Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Hudson in Home Physical Therapy and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| Morris Heights Health Center, Inc. | Past | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients |
Locations
85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600
576 Broadhollow Rd
Melville, NY 11747
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- salvattore.portocarrero.p1@direct.mhhc.nextgenshare.com
Organizations & group practices 10
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.
-
- Physical Therapist
- Bronx, NY
- NPI 1760748735
NY, Physical Therapist
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
NY
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
NY, Physical Therapist
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
NY, Physical Therapist
-
- Physical Rehabilitation Occupational Therapist
- Bronx, NY
- NPI 1366197758
Physical Therapist
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1104374685
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1669912341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1164938155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534015",
"telephone_number": "718-716-4400",
"fax_number": "718-624-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W BURNSIDE AVE # 69",
"city": "BRONX",
"state": "NY",
"postal_code": "104534038",
"telephone_number": "718-716-4400",
"fax_number": "718-924-2678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTOCARRERO",
"first_name": "SALVATTORE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.