Organization Active NPI

Montalto Physical Therapy, PC

  • Specialist
  • Oyster Bay, NY
National Provider Identifier
1659521979
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0190711 Issued in NY
Legal business name
MONTALTO PHYSICAL THERAPY, PC
Practice address
123 South St
Suite 112
Oyster Bay, NY 11771-2251
Phone
(516) 624-6739
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Mr. Joseph George Montalto, PTNPI 1649253618
Title
Owner
Phone
(516) 624-6739

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0190711 NY Primary

Addresses

Primary practice location

123 South St
Suite 112
Oyster Bay, NY 11771-2251

Mailing address

123 South St
Suite 112
Oyster Bay, NY 11771-2251
Phone (516) 624-6739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000481 NY Part B Supplier - Clinic/Group Practice 5890857783 Receives reassigned benefits from 1 practitioner
Practice locations: East Norwich, NY

National Provider Directory

National Provider Directory

Locations

1035 Oyster Bay Rd
Ste A
East Norwich, NY 11732
Phone (516) 624-6739

123 South St
Ste 110
Oyster Bay, NY 11771
Phone (516) 624-6739

123 South St
Ste 112
Oyster Bay, NY 11771
Phone (516) 624-6739

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1659521979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SOUTH ST",
            "address_2": "SUITE 112",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712251",
            "telephone_number": "516-624-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SOUTH ST",
            "address_2": "SUITE 112",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712251",
            "telephone_number": "516-624-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTALTO PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "MONTALTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-624-6739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0190711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.