Edward Joseph Scalise, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005642-1 Issued in NY

Practice address

690 W German St
Herkimer, NY 13350-2135

Phone

(315) 866-3330

Fax

(315) 866-6546

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1194026351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 1ST AVENUE EXT",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403516",
            "telephone_number": "315-866-3330",
            "fax_number": "315-866-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 W GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502135",
            "telephone_number": "315-866-3330",
            "fax_number": "315-866-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISE",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005642-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Rowe-Murphy, PT, DPT
• Karen Sabonis, RN
• Tijan Saidykhan
• Ann Margriet Salamon
• Dawn Marie Sangster, LPN
• Jannel Manieri Scalise, RPH
• Amy Scalora
• Margaret Scandura, M.D.
• Charles Scaparo
• Edgar Rogers Scudder, LCSW

• Physical Therapy Assistant in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.