NPIMap

Organization Active NPI

Pullano Physical Therapy, PLLC

  • Physical Therapist
  • Endwell, NY
National Provider Identifier
1548320658
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017307-1 Issued in NY
Legal business name
PULLANO PHYSICAL THERAPY, PLLC
Practice address
3125 E Main St
Endwell, NY 13760-5958
Phone
(607) 748-7369
Fax
(607) 748-4189
NPI assigned
Dec 11, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Mr. Matthew David Pullano, P.T.NPI 1619040425
Title
Physical Therapist - Owner
Phone
(607) 748-7369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 017307-1 NY Primary

Addresses

Primary practice location

3125 E Main St
Endwell, NY 13760-5958

Mailing address

3125 E Main St
Endicott, NY 13760-5958
Phone (607) 748-7369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140320001212 NY Part B Supplier - Clinic/Group Practice 2567453087 Receives reassigned benefits from 5 practitioners
Practice locations: Endwell, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1548320658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605958",
            "telephone_number": "607-748-7369",
            "fax_number": "607-748-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E MAIN ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605958",
            "telephone_number": "607-748-7369",
            "fax_number": "607-748-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLANO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "PULLANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - OWNER",
        "authorized_official_telephone_number": "607-748-7369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.