Active NPI
Richard Patrick Macaltao, MS, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1679509590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021322-1
- Practice address
- 133 E 58TH St
Suite 1001
New York, NY 10022-1236 - Phone
- (212) 355-4481
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021322-1 | NY | Primary |
Addresses
Primary practice location
133 E 58TH St
Suite 1001
New York, NY 10022-1236
Mailing address
133 E 58TH St
Suite 1001
New York, NY 10022-1236
Phone (212) 355-4481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021322 | NY | MD | Occupational Therapist |
| 021322-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1679509590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-355-4481",
"fax_number": "212-355-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 58TH ST",
"address_2": "SUITE 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221236",
"telephone_number": "212-355-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALTAO",
"first_name": "RICHARD",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021322-1",
"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 Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.