Individual provider Active NPI

Chelsie Salvador Cueto

  • Physical Therapy Assistant
  • New York, NY
National Provider Identifier
1508595505
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
013265 Issued in NY
Practice address
1345 Avenue of the Americas FL 11
New York, NY 10105-0013
Phone
(212) 981-1977
Fax
(646) 786-4026
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 013265 NY Primary
Physical Therapist 225100000X 048590 NY

Addresses

Primary practice location

1345 Avenue of the Americas FL 11
New York, NY 10105-0013

Mailing address

267 Bissell Rd
Cooperstown, NY 13326-5418
Phone (607) 282-4462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013265NYMDPhysical Therapist
048590NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1508595505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BISSELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265418",
            "telephone_number": "607-282-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050013",
            "telephone_number": "212-981-1977",
            "fax_number": "646-786-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETO",
        "first_name": "CHELSIE",
        "middle_name": "SALVADOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013265",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.