Individual provider Active NPI

David John Soldano, DPT

  • Physical Therapist
  • North Babylon, NY
National Provider Identifier
1710384557
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038312-1 Issued in NY
Practice address
150 Bay Shore Rd
North Babylon, NY 11703-1711
Phone
(631) 586-6616
Fax
(631) 586-6617
NPI assigned
Nov 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038312-1 NY Primary

Addresses

Primary practice location

150 Bay Shore Rd
North Babylon, NY 11703-1711

Mailing address

150 Bay Shore Rd
North Babylon, NY 11703-1711
Phone (631) 586-6616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203002065 NY Practitioner - Physical Therapist in Private Practice 6305161886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performax Physical Therapy Wellness, P.C.Group PAC ID 7113152547, 5 clinicians

Practice addresses (Care Compare)

150 Bay Shore Rd
North Babylon, NY 11703-1711
Phone (631) 586-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients
Performax Physical Therapy Wellness, P.C. Physical Therapist CurrentSince Oct 17, 2017 Accepting new patients

Locations

17660 Union Tpke
Ste 195
Fresh Meadows, NY 11366
Phone (718) 820-9300

150 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-6616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1710384557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031711",
            "telephone_number": "631-586-6616",
            "fax_number": "631-586-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031711",
            "telephone_number": "631-586-6616",
            "fax_number": "631-586-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDANO",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038312-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.