Individual provider Active NPI

Maria Marcela Prado-Laterza, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1215960745
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0125161-1 Issued in NY
Practice address
2735 Henry Hudson Parkway
Bronx, NY 10463-0145
Phone
(718) 884-0444
Fax
(718) 549-0145
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 0125161-1 NY Primary

Addresses

Primary practice location

2735 Henry Hudson Parkway
Bronx, NY 10463-0145

Mailing address

2735 Henry Hudson Parkway
Bronx, NY 10463
Phone (718) 884-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000468 NY Practitioner - Physical Therapist in Private Practice 0648359638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0125161-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Physical Therapy PC Physical Therapist Current Accepting new patients
Netherland Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients

Locations

2600 Netherland Ave
Ste 121
Bronx, NY 10463
Phone (718) 548-1590

Organizations & group practices 2

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1215960745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PARKWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-884-0444",
            "fax_number": "718-549-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PARKWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104630145",
            "telephone_number": "718-884-0444",
            "fax_number": "718-549-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO-LATERZA",
        "first_name": "MARIA",
        "middle_name": "MARCELA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0125161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.