Individual provider Active NPI

Angelo V Accattato

  • Physical Therapist
  • New York, NY
National Provider Identifier
1710696703
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049685 Issued in NY
Practice address
630 3Rd Ave
New York, NY 10017-6705
Phone
(646) 829-2290
NPI assigned
Nov 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 049685 NY Primary

Addresses

Primary practice location

630 3Rd Ave
New York, NY 10017-6705

Mailing address

31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282

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
049685NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients

Locations

410 Airport Executive Park
Nanuet, NY 10954
Phone (845) 356-2020

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

630 3rd Ave
New York, NY 10017
Phone (212) 682-3191

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1710696703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176705",
            "telephone_number": "646-829-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCATTATO",
        "first_name": "ANGELO",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049685",
            "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 Aug 14, 2023; 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.