Individual provider Active NPI

Roberto Stirpe

  • Geriatric Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1457744542
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
038495-1 Issued in NY
Practice address
903 5TH Ave
New Hyde Park, NY 11040-5503
Phone
(516) 996-0130
Fax
(516) 706-2182
NPI assigned
Mar 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 038495-1 NY Primary

Addresses

Primary practice location

903 5TH Ave
New Hyde Park, NY 11040-5503

Mailing address

903 5TH Ave
New Hyde Park, NY 11040-5503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515000267 NY Practitioner - Physical Therapist in Private Practice 1759601719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038495-1NYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Physical Therapy PC CurrentSince Jan 31, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1457744542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 5TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 5TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405503",
            "telephone_number": "516-996-0130",
            "fax_number": "516-706-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRPE",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "038495-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.