Justin William Pirino, DPT
Individual provider Active NPI Physical Therapist · Cochecton, NY
NPI 1720628563 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1720628563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 045217
- Practice address
- 56 Cross Rd
Cochecton, NY 12726-5004 - Phone
- (845) 701-2690
- NPI assigned
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045217 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045217 | Yes |
Addresses
Primary practice location
56 Cross Rd
Cochecton, NY 12726-5004
Mailing address
56 Cross Rd
Cochecton, NY 12726-5004
Phone (845) 701-2690
Other providers in Cochecton, NY
All providers in Cochecton, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.