Individual provider Active NPI

R Troy Q Noval, P.T.

  • Pediatric Physical Therapist
  • Pearl River, NY
National Provider Identifier
1548413511
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
022420-1 Issued in NY
Practice address
195 Townline Rd
Pearl River, NY 10965
Phone
(845) 268-7245
Fax
(845) 268-7245
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 022420-1 NY Primary

Addresses

Primary practice location

195 Townline Rd
Pearl River, NY 10965

Mailing address

PO Box 286
Orangeburg, NY 10962-0286
Phone (845) 268-7245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521000653 NY Practitioner - Physical Therapist in Private Practice 6507265683 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022420NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince May 1, 2022 Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince May 1, 2022 Accepting new patients
The Caring PT Group, PLLC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Essential Therapy Services of NJ PastSince Aug 1, 2021 Accepting new patients

Locations

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Organizations & group practices 4

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1548413511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109620286",
            "telephone_number": "845-268-7245",
            "fax_number": "845-268-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 TOWNLINE RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "10965",
            "telephone_number": "845-268-7245",
            "fax_number": "845-268-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAL",
        "first_name": "R TROY",
        "middle_name": "Q",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "022420-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.