Active NPI
Iryn Obaldo Fontanosa, BSPT
- Physical Therapist
- White Plains, NY
National Provider Identifier
1609179191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62030274
- Practice address
- 185 Maple Avenue
Suite 124
White Plains, NY 10601-4776 - Phone
- (914) 997-6970
- NPI assigned
- Dec 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62030274 | NY | Primary |
Addresses
Primary practice location
185 Maple Avenue
Suite 124
White Plains, NY 10601-4776
Mailing address
5 Stormytown Rd
Ossining, NY 10562-2510
Phone (914) 707-4048
Other practice location 1
30 S Broadway
Yonkers, NY 10701-3712
Phone (914) 574-7475
Other names 1
- Iryn Vinson Obaldo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62030274 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Physical Therapy Associates PC | Physical Therapist | 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.
-
- Physical Therapist
- White Plains, NY
- NPI 1316079890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1609179191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 STORMYTOWN RD",
"city": "OSSINING",
"state": "NY",
"postal_code": "105622510",
"telephone_number": "914-707-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 MAPLE AVENUE",
"address_2": "SUITE 124",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014776",
"telephone_number": "914-997-6970"
}
],
"practiceLocations": [
{
"address_1": "30 S Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107013712",
"country_code": "US",
"telephone_number": "914-574-7475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTANOSA",
"first_name": "IRYN",
"middle_name": "OBALDO",
"name_prefix": "Miss",
"credential": "BSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62030274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRYN",
"last_name": "OBALDO",
"middle_name": "VINSON",
"credential": "BSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.