Organization Active NPI

Orange Lake Physical Therapy PLLC

  • Specialist
  • Newburgh, NY
National Provider Identifier
1184840670
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11494 Issued in NY
Legal business name
ORANGE LAKE PHYSICAL THERAPY PLLC
Practice address
211 S Plank Rd Ste 3
Newburgh, NY 12550-7050
Phone
(845) 566-4303
Fax
(845) 566-4255
NPI assigned
Apr 17, 2007
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Mr. Louis Robert Catalusci, PTNPI 1659358919
Title
President
Phone
(845) 566-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11494 NY Primary

Addresses

Primary practice location

211 S Plank Rd Ste 3
Newburgh, NY 12550-7050

Mailing address

211 S Plank Rd Ste 3
Newburgh, NY 12550-7050
Phone (845) 566-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000231 NY Part B Supplier - Clinic/Group Practice 6608766753 Receives reassigned benefits from 2 practitioners
Practice locations: Newburgh, NY

National Provider Directory

National Provider Directory

Locations

211 S Plank Rd
Ste 3
Newburgh, NY 12550
Phone (845) 566-4303

239 Lakeside Rd
Ste 2
Newburgh, NY 12550
Phone (845) 566-4303

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1184840670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S PLANK RD STE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507050",
            "telephone_number": "845-566-4303",
            "fax_number": "845-566-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PLANK RD STE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507050",
            "telephone_number": "845-566-4303",
            "fax_number": "845-566-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE LAKE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "CATALUSCI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-566-4303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.