Marco Antonio Moreto Cabillan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038601 Issued in NY

Practice address

770 Route 3 Ste 7
Plattsburgh, NY 12901-7478

Phone

(518) 310-1717

Fax

(518) 310-1713

NPI assigned

Feb 7, 2020

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perkins Chiropractic & Physical Therapy PLLC

  • Physical Therapist
  • Plattsburgh, NY
  • NPI 1841362498
  Medicare reassignment NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1427680487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ROUTE 3 STE 7",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017478",
            "telephone_number": "518-310-1717",
            "fax_number": "518-310-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ROUTE 3 STE 7",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017478",
            "telephone_number": "518-310-1717",
            "fax_number": "518-310-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 US Oval",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129033913",
            "country_code": "US",
            "telephone_number": "518-310-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABILLAN",
        "first_name": "MARCO ANTONIO",
        "middle_name": "MORETO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalee Louise Byers, SPEECH LANGUAGE PATH
• Tara Byrne
• C J M Medical PC
• C Philip Volk PLLC
• Diane T Cabana, M.D.
• Maegan Boulerice Cabrera, M.D.
• Nikita Cadet, MD
• Ann M Calcara-Braccia, OTR/L
• William P Caldon, D.M.D.
• Katie L Calkins, MA CCC-SLP

• Physical Therapist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.