Individual provider Active NPI

Martin Anthony Del Prado

  • Orthopedic Physical Therapist
  • Long Island City, NY
National Provider Identifier
1710529359
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
044936-01 Issued in NY
Practice address
4334 32ND PL PH
Long Island City, NY 11101-2313
Phone
(646) 973-5439
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 044936-01 NY Primary

Addresses

Primary practice location

4334 32ND PL PH
Long Island City, NY 11101-2313

Mailing address

4334 32ND PL PH
Long Island City, NY 11101-2313
Phone (646) 973-5439

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

State licenses

LicenseStateTypeSpecialty
044936-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Solutions Physical Therapy and Performance LLC CurrentSince May 13, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1710529359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 32ND PL PH",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012313",
            "telephone_number": "646-973-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 32ND PL PH",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012313",
            "telephone_number": "646-973-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL PRADO",
        "first_name": "MARTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "044936-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.