Organization Active NPI

Function First Physical Therapy P C

  • Physical Therapist
  • New York, NY
National Provider Identifier
1619942299
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011932 Issued in NY
Legal business name
FUNCTION FIRST PHYSICAL THERAPY P C
Practice address
119 W 23Rd St
Suite 804
New York, NY 10011-2427
Phone
(212) 691-4833
Fax
(212) 691-4532
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Mr. Joseph D Spallone, B.S., PTNPI 1972578656
Title
Owner/Physical Therapist
Phone
(212) 691-4833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 011932 NY Primary

Addresses

Primary practice location

119 W 23Rd St
Suite 804
New York, NY 10011-2427

Mailing address

119 W 23Rd St
Suite 804
New York, NY 10011-2427
Phone (212) 691-4833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729001018 NY Part B Supplier - Clinic/Group Practice 7618905712 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1619942299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST",
            "address_2": "SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112427",
            "telephone_number": "212-691-4833",
            "fax_number": "212-691-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST",
            "address_2": "SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112427",
            "telephone_number": "212-691-4833",
            "fax_number": "212-691-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION FIRST PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SPALLONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-691-4833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.