Antonio V Colletti

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041974 Issued in NY

Practice address

7119 80TH St Ste 8210
Glendale, NY 11385-7733

Phone

(718) 554-6610

NPI assigned

Nov 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD
• Promet Physical Therapy PC

  • Physical Therapist
  • Glendale, NY
  • NPI 1710174784
  Medicare reassignment NPD
• William J. Schwarz, P.T., P.C.

  • Physical Therapy Clinic/Center
  • Massapequa, NY
  • NPI 1861551194
  Medicare reassignment NPD
• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1740793116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 EVANS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 80TH ST STE 8210",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857733",
            "telephone_number": "718-554-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Willis Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115012670",
            "country_code": "US",
            "telephone_number": "516-833-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117586221",
            "country_code": "US",
            "telephone_number": "516-798-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETTI",
        "first_name": "ANTONIO",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Glendale, NY
• Providers in Glendale, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.