Individual provider Active NPI

Melissa Bertolozzi, PT

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1730169228
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025213-1 Issued in NY
Practice address
45 Eastdale Ave North Suite 102
Poughkeepsie, NY 12603-1796
Phone
(845) 495-3070
Fax
(845) 495-3069
NPI assigned
Jan 19, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 025213-1 NY Primary

Addresses

Primary practice location

45 Eastdale Ave North Suite 102
Poughkeepsie, NY 12603-1796

Mailing address

45 Eastdale Ave North Suite 102
Poughkeepsie, NY 12603-1796
Phone (845) 495-3070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000271 NY Practitioner - Physical Therapist in Private Practice 5193733806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bertolozzi Physical Therapy Services PCGroup PAC ID 6103973110, 5 clinicians

Practice addresses (Care Compare)

45 Eastdale Ave N
Suite 102
Poughkeepsie, NY 12603-1796
Phone (845) 495-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025213-1NYMDPhysical Therapist
025213NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bertolozzi Physical Therapy Services PC CurrentSince Dec 1, 2008 Accepting new patients
William S. Bremiller Physical Therapist PastSince Nov 22, 2004 Accepting new patients
Millbrook Physical Therapy PC Past Accepting new patients

Locations

45 Eastdale Ave N
Ste 102
Poughkeepsie, NY 12603
Phone (845) 495-3070

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1730169228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EASTDALE AVE NORTH SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031796",
            "telephone_number": "845-495-3070",
            "fax_number": "845-495-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EASTDALE AVE NORTH SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031796",
            "telephone_number": "845-495-3070",
            "fax_number": "845-495-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLOZZI",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.