Individual provider Active NPI

Jay Allan Mariano Catli, P.T

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1619900404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018533-1 Issued in NY
Practice address
1225 Richmond Rd
Staten Island, NY 10304-2415
Phone
(718) 477-2971
Fax
(718) 569-0704
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 018533-1 NY Primary

Addresses

Primary practice location

1225 Richmond Rd
Staten Island, NY 10304-2415

Mailing address

3 Eastlick Rd
Edison, NJ 08817-3821
Phone (732) 985-4956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000231 NY Practitioner - Physical Therapist in Private Practice 7012975618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018533NYMDClinical Psychologist
018533-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In House Physical Therapy PLLC Physical Therapist CurrentSince Mar 14, 2012 Accepting new patients
Motion Plus Physical Therapy, PC Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Motion Plus Physical Therapy, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619900404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EASTLICK RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173821",
            "telephone_number": "732-985-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042415",
            "telephone_number": "718-477-2971",
            "fax_number": "718-569-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLI",
        "first_name": "JAY ALLAN",
        "middle_name": "MARIANO",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.