Active NPI
Michael V Camperlengo, M.S., P.T.
- Physical Therapist
- Pelham, NY
National Provider Identifier
1508936790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0204641
- Practice address
- 342 Fifth Ave
Pelham, NY 10803-1204 - Phone
- (914) 738-1748
- Fax
- (914) 738-1749
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0204641 | NY | Primary |
Addresses
Primary practice location
342 Fifth Ave
Pelham, NY 10803-1204
Mailing address
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 819-6805
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020464 | NY | MD | Psychologist |
| 0204641 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Group of Westchester PC | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Rye Brook, NY
- NPI 1558404095
Physical Therapist
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1508936790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "718-819-6805",
"fax_number": "347-841-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FIFTH AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108031204",
"telephone_number": "914-738-1748",
"fax_number": "914-738-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPERLENGO",
"first_name": "MICHAEL",
"middle_name": "V",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0204641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.