Individual provider Active NPI

David John Cazalet, P.T.

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1205872272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025547-1 Issued in NY
Practice address
998 Carmans Rd
Massapequa, NY 11758-3505
Phone
(516) 694-4426
Fax
(516) 694-4426
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 025547-1 NY Primary

Addresses

Primary practice location

998 Carmans Rd
Massapequa, NY 11758-3505

Mailing address

10 Cedar Dr
Farmingdale, NY 11735-2902
Phone (516) 587-4659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000695 NY Practitioner - Physical Therapist in Private Practice 9032109467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Islandwide Physical Therapy and Chiropractic PLLCGroup PAC ID 7618287863, 2 clinicians

Practice addresses (Care Compare)

60 N Park Ave
Rockville Centre, NY 11570-4159
Phone (516) 921-1395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025547-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Islandwide Physical Therapy and Chiropractic PLLC CurrentSince Jun 18, 2015 Accepting new patients

Locations

60 N Park Ave
Rockville Centre, NY 11570
Phone (516) 850-6040

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205872272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352902",
            "telephone_number": "516-587-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583505",
            "telephone_number": "516-694-4426",
            "fax_number": "516-694-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZALET",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.