Active NPI
Mariel Grace Mustello, PT, DPT
- Physical Therapist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050868
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 454-8500
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050868 | NY | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
631 Pumpkin LN
Clinton Corners, NY 12514-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422
3695 Old Yorktown Rd
Shrub Oak, NY 10588-1503
Phone (914) 294-4842
6089 Route 82
Stanfordville, NY 12581-5903
Phone (914) 294-4842
79 Flint Rd
Millbrook, NY 12545-6410
Phone (845) 266-2003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalton Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3695 Old Yorktown Rd
Shrub Oak, NY 10588
Phone (914) 294-4842
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Dewitt, NY
- NPI 1346530169
-
- Physical Therapist
- New York, NY
- NPI 1174560650
-
- Physical Therapy Clinic/Center
- Shrub Oak, NY
- NPI 1851117238
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1235918665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PUMPKIN LN",
"city": "CLINTON CORNERS",
"state": "NY",
"postal_code": "125142615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-454-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTELLO",
"first_name": "MARIEL",
"middle_name": "GRACE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.