Active NPI
Judith A Morale, P.T.
- Geriatric Physical Therapist
- Holbrook, NY
National Provider Identifier
1598701633
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 036935
- Practice address
- 20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616 - Phone
- (631) 467-3700
- Fax
- (631) 467-0928
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 007297 | CT | |
| Geriatric Physical Therapist | 2251G0304X | 980 | NH | |
| Geriatric Physical Therapist | 2251G0304X | 036935 | NY | Primary |
Addresses
Primary practice location
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Mailing address
720 Latta Rd
Rochester, NY 14612-4100
Phone (585) 262-4090
Other names 1
- Judith Morale Durkin
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 980 | NH | MD | Mental Health Counselor |
| 036935 | NY | MD | Dentist |
| 007297 | CT | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Geriatric Physical Therapy, LLC | Geriatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Physical Therapist
- Bedford, NH
- NPI 1295921088
Geriatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1598701633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 LATTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146124100",
"telephone_number": "585-262-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALE",
"first_name": "JUDITH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CT",
"license": "007297",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NH",
"license": "980",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "036935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "DURKIN",
"middle_name": "MORALE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holbrook, NY
- Modern Rehabilitation Technologies, LLC
- Modern Rehabilitation Technologies, LLC
- Robin Beth Moeller, LCSW
- Momentum Physical Therapy of New York PLLC
- Lynn Joan Montoya
- Julie Moran
- Mina Morkos, PHARMD
- Jennie Marie Mortenson Berger, L.P.N
- Mountainview Counseling and Psychological Services, PC
- Kristina Elizabeth Mullaly, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.