Individual provider Active NPI

Thomas Berotti, DPT

  • Physical Therapist
  • Montauk, NY
National Provider Identifier
1205446564
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6 S Elmwood Ave
Montauk, NY 11954-5421
Phone
(631) 668-7600
Fax
(631) 668-7603
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Primary

Addresses

Primary practice location

6 S Elmwood Ave
Montauk, NY 11954-5421

Mailing address

6 S Elmwood Ave
Montauk, NY 11954-5421
Phone (631) 668-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Hampton Physical Therapy PLLC Physical Therapist CurrentSince Aug 9, 2020 Accepting new patients

Locations

6 S Elmwood Ave
Montauk, NY 11954
Phone (631) 668-7600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1205446564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S ELMWOOD AVE",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545421",
            "telephone_number": "631-668-7600",
            "fax_number": "631-668-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S ELMWOOD AVE",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545421",
            "telephone_number": "631-668-7600",
            "fax_number": "631-668-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEROTTI",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montauk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.