Demartino Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DEMARTINO PHYSICAL THERAPY LLC

Practice address

1450 East Street
Pittsfield, MA 01201

Phone

(413) 442-0610

Fax

(413) 442-0689

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mario J Demartino, PT

Title

Partner Manager

Phone

(413) 442-0610

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony A Demartino, PT

  • Physical Therapist
  • Pittsfield, MA
  • NPI 1639384050
  NPD (past)
• Gail Polidoro-Hover, PTA

  • Physical Therapy Assistant
  • Pittsfield, MA
  • NPI 1972718393
  NPD (past)
• Judith Gawron

  • Physical Therapist
  • Hudson, NY
  • NPI 1912273723
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285706663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EAST STREET",
            "address_2": "SUITE 2",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-442-0610",
            "fax_number": "413-442-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EAST STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-442-0610",
            "fax_number": "413-442-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMARTINO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARTINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER MANAGER",
        "authorized_official_telephone_number": "413-442-0610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y61168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMOBLUE",
            "identifier": "Y65044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janna Delgado, INTERN
• Justine Scheeder Deluca, DPT
• Andrew J Demaggio, MD
• Katherine Carroll Demarco
• Virginia Demarco, RN
• Anthony A Demartino, PT
• Matthew Aaron Demary
• Michael R Dematteo, MD
• Nicole E Demby
• Brian J Dempsey, MD

• Physical Therapy Clinic/Center in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.