Pinnacle Performance PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0287051 Issued in NY

Legal business name

PINNACLE PERFORMANCE PT PLLC

Practice address

428 Central Park Ave
Suite B
Scarsdale, NY 10583-1017

Phone

(914) 356-0484

Fax

(914) 709-4002

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mick Mannello, DPTNPI 1548325814

Title

Owner

Phone

(914) 356-0484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mick Mannello, DPT

  • Physical Therapist
  • Scarsdale, NY
  • NPI 1548325814
  Medicare reassignment NPD Authorized official
• Kathleen Darcy Kiely, PT

  • Physical Therapist
  • Scarsdale, NY
  • NPI 1588010128
  Medicare reassignment NPD
• Virginia Angela Mannello, PHARMD

  • Pharmacist
  • Eastchester, NY
  • NPI 1518289917
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1639359540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CENTRAL PARK AVE",
            "address_2": "SUITE B",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831017",
            "telephone_number": "914-356-0484",
            "fax_number": "914-709-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CENTRAL PARK AVE",
            "address_2": "SUITE B",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831017",
            "telephone_number": "914-356-0484",
            "fax_number": "914-709-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PERFORMANCE PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "MANNELLO",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-356-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0287051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy and Wellness of Westchester
• Sharon Medoff Picard, LCSW
• Rachel Elizabeth Pierinelli
• Anne Abbott Pierog, M.D.
• Jeffrey Neal Pike, DDS
• Nirit Gradwohl Pisano, PH.D.
• Dyana M Placco, R.N.
• Evelyn Placek, M.D.
• Stephanie Polizzi, LMHC
• Jessica Pollack, DPT, CLT

• Physical Therapist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.