Individual provider Active NPI

Guy Anthony Disalvo, PT

  • Physical Therapist
  • Tuckahoe, NY
National Provider Identifier
1245465202
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029903-1 Issued in NY
Practice address
115 Main St
Tuckahoe, NY 10707-2948
Phone
(914) 965-1453
NPI assigned
May 20, 2009
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 029903-1 NY Primary

Addresses

Primary practice location

115 Main St
Tuckahoe, NY 10707-2948

Mailing address

1075 Central Park Ave
Suite 301
Scarsdale, NY 10583-3242
Phone (914) 723-4900

Other practice location 1

1075 Central Park Ave
Suite 301
Scarsdale, NY 10583-3242
Phone (914) 723-4900 ext. 113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817000854 NY Practitioner - Physical Therapist in Private Practice 2668744210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

115 Main St
Tuckahoe, NY 10707-2948
Phone (914) 961-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029903NYMDEndocrinology, Diabetes & Metabolism Physician
029903-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 28, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 28, 2024 Accepting new patients
Forme Medical Center, Inc. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

1075 Central Park Ave
Ste 301
Scarsdale, NY 10583
Phone 9147234900 ext. 113

115 Main St
Tuckahoe, NY 10707
Phone (914) 793-1234

115 Main St
Ste 202
Tuckahoe, NY 10707
Phone (914) 961-1010

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gdisalvo@hiemail.healtheconnections.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1245465202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 301",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-723-4900",
            "fax_number": "314-723-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-965-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Central Park Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105833242",
            "country_code": "US",
            "telephone_number": "914-723-4900 x113",
            "fax_number": "314-723-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISALVO",
        "first_name": "GUY",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.