Tory Michael Badalamenti, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

017990 Issued in NY

Practice address

112 Bidwell Ave
Staten Island, NY 10314-3177

Phone

(718) 637-4603

Fax

(718) 448-8287

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In House Physical Therapy PLLCGroup PAC ID 3971785890, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• In House Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1003118829

  Geriatrics, NY

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1295870079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BIDWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143177",
            "telephone_number": "718-637-4603",
            "fax_number": "718-448-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BIDWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143177",
            "telephone_number": "718-637-4603",
            "fax_number": "718-448-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALAMENTI",
        "first_name": "TORY",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "017990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Bace
• John F Bachi, M.D.
• Back to Health Chiropractic, P.C
• Back to Normal Chiropractic, PC
• Devora Backenroth, OTR/L
• Yelena Badalov
• James Anthony Badillo, CASAC-T
• Iryna Badovych
• Rawan Badran, MD
• Hannah Amelia Bae, MD

• All providers in Staten Island, NY
• Geriatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.