Individual provider Active NPI

Erica Lynn Martello, PT, DPT

  • Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1588067235
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038119 Issued in NY
Practice address
27003 Hillside Ave
New Hyde Park, NY 11040-2517
Phone
(718) 831-1900
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038119 NY Primary

Addresses

Primary practice location

27003 Hillside Ave
New Hyde Park, NY 11040-2517

Mailing address

814 Fulton St
Ste B
Farmingdale, NY 11735-3638
Phone (516) 420-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117001155 NY Practitioner - Physical Therapist in Private Practice 7214247568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2237 Wantagh Ave
Unit a
Wantagh, NY 11793-3945
Phone (516) 826-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038119NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy, PC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

814 Fulton St
Ste B
Farmingdale, NY 11735
Phone (516) 420-1927

90 Northern Blvd
Greenvale, NY 11548
Phone (516) 626-5080

576 Broadhollow Rd
Melville, NY 11747

27003 Hillside Ave
New Hyde Park, NY 11040
Phone (718) 831-1900

16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400

22005 Hillside Ave
Queens Village, NY 11427
Phone (718) 400-8330

2237 Wantagh Ave
Unit A
Wantagh, NY 11793
Phone (516) 826-0116

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1588067235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "address_2": "STE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27003 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402517",
            "telephone_number": "718-831-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLO",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.