Individual provider Active NPI

Stephen A Guidone, P.T.

  • Orthopedic Physical Therapist
  • Cato, NY
National Provider Identifier
1598739047
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0151311 Issued in NY
Practice address
2949 State Route 370
Cato, NY 13033-9778
Phone
(315) 626-3179
Fax
(315) 626-5004
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0151311 NY Primary

Addresses

Primary practice location

2949 State Route 370
Cato, NY 13033-9778

Mailing address

2949 State Route 370
Cato, NY 13033-9778
Phone (315) 626-3179

Other identifiers 1

IdentifierTypeStateIssuer
1603061MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000470 NY Practitioner - Physical Therapist in Private Practice 4981593670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2949 Route 370
Cato, NY 13033
Phone (315) 626-3179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0151311NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guidone Physical Therapy PC Orthopedic CurrentSince Jan 1, 2014 Accepting new patients
Primary Physical Therapy PLLC Orthopedic Past Accepting new patients

Locations

2949 State Route 370
Cato, NY 13033
Phone (315) 626-2117

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1598739047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 STATE ROUTE 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130339778",
            "telephone_number": "315-626-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 STATE ROUTE 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130339778",
            "telephone_number": "315-626-3179",
            "fax_number": "315-626-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDONE",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0151311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cato, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.