Susan Depalo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0058841 Issued in NY

Practice address

5500 Merrick Road
Massapequa, NY 11758

Phone

(516) 798-3789

Fax

(516) 798-3589

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497961379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MERRICK ROAD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK ROAD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALO",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0058841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Denicola, PMHNP-BC
• Denise Wright Licensed Behavior Analyst PLLC
• Andrew Denmark, ATC
• Dennis M Kesden MD & Sherry H Kesden MD PC
• Patricia M Depalma, SLP
• Patricia Depinho, RYT
• Nicole Jessica Depinto
• Paul Dequillfeldt, ATC
• Donna Marie Desena, OTR/L
• Puja Vilas Deshpande, PHARM D

• Physical Therapist in Massapequa, NY
• Providers in Massapequa, 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 8, 2007; 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.