Joseph Michael Dellavalle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040430 Issued in NY

Practice address

1275 Main St Ste 120
Buffalo, NY 14209-1911

Phone

(716) 402-4920

Fax

(716) 322-5505

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Queen City Physical Therapy, PLLC

  • Physical Therapist
  • Buffalo, NY
  • NPI 1639975055
  Medicare reassignment NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1194272799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141510366",
            "telephone_number": "716-402-4920",
            "fax_number": "716-322-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 MAIN ST STE 120",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091911",
            "telephone_number": "716-402-4920",
            "fax_number": "716-322-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAVALLE",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bulent Tolga Delibasi
• Christopher James Deline, M.D.
• Sonia M Delisanti, MA CCC/LSLP
• Lisa Marie Dell'Isola, RPH
• Christina Dellaneve
• Taylor Delmont, OTR/L
• Abbigail Cady Delmonte
• Michael J. Delmonte, LCSW-R
• Jessica Deloach
• Danielle Delong, MSW

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, 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 Mar 14, 2025; 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.

Verify at the official NPI Registry.