Organization Active NPI

Resolve Physical Therapy, P. C.

  • Physical Therapist
  • Montgomery, NY
National Provider Identifier
1649886201
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESOLVE PHYSICAL THERAPY, P. C.
Practice address
1128 State Route 17K Ste 3
Montgomery, NY 12549-2270
Phone
(845) 769-7777
NPI assigned
Sep 18, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
John De Noyelles, PTNPI 1881027787
Title
Owner
Phone
(845) 769-7777

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 Primary

Addresses

Primary practice location

1128 State Route 17K Ste 3
Montgomery, NY 12549-2270

Mailing address

1128 State Route 17K Ste 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218000305 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678985595 Receives reassigned benefits from 7 practitioners
Practice locations: Florida, NY; Montgomery, NY

National Provider Directory

National Provider Directory

Locations

1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777

1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777

Practitioners & affiliated clinicians

Practitioners 7

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1649886201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 STATE ROUTE 17K STE 3",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492270",
            "telephone_number": "845-769-7777",
            "fax_number": "845-769-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 STATE ROUTE 17K STE 3",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492270",
            "telephone_number": "845-769-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE PHYSICAL THERAPY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "DE NOYELLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-769-7777",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.