Individual provider Active NPI

Louis R Catalusci, P.T.

  • Specialist
  • Newburgh, NY
National Provider Identifier
1659358919
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11494 Issued in NY
Practice address
211 South Plank Rd
Suite 3
Newburgh, NY 12550-5758
Phone
(845) 566-4303
Fax
(845) 566-4255
NPI assigned
Dec 28, 2005
Last updated
Aug 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11494 NY Primary

Addresses

Primary practice location

211 South Plank Rd
Suite 3
Newburgh, NY 12550-5758

Mailing address

211 South Plank Rd
Suite 3
Newburgh, NY 12550-5758
Phone (845) 566-4303

Other identifiers 2

IdentifierTypeStateIssuer
01572412MedicaidNY
QQ7581OtherNYEMPIRE BLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000611 NY Practitioner - Physical Therapist in Private Practice 9830259324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Lake Physical Therapy PLLCGroup PAC ID 6608766753, 2 clinicians

Practice addresses (Care Compare)

211 S Plank Rd
Suite 3
Newburgh, NY 12550-7050
Phone (845) 566-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11494NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Lake Physical Therapy PLLC Specialist CurrentSince Sep 16, 1998 Accepting new patients

Locations

211 S Plank Rd
Ste 3
Newburgh, NY 12550
Phone (845) 566-4303

239 Lakeside Rd
Ste 2
Newburgh, NY 12550
Phone (845) 566-4303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1659358919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SOUTH PLANK RD",
            "address_2": "SUITE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505758",
            "telephone_number": "845-566-4303",
            "fax_number": "845-566-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SOUTH PLANK RD",
            "address_2": "SUITE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505758",
            "telephone_number": "845-566-4303",
            "fax_number": "845-566-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALUSCI",
        "first_name": "LOUIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "QQ7581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.