Individual provider Active NPI

Angelo Carmen Rosato, PHYSICAL THERAPIST

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1760480370
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010651-1 Issued in NY
Practice address
600 French Rd
New Hartford, NY 13413-1037
Phone
(315) 266-0010
Fax
(315) 266-0147
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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 010651-1 NY Primary

Addresses

Primary practice location

600 French Rd
New Hartford, NY 13413-1037

Mailing address

600 French Rd
New Hartford, NY 13413-1037
Phone (315) 266-0010

Other identifiers 1

IdentifierTypeStateIssuer
02292717MedicaidNY

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
10651NYMDMental Health Counselor
010651-1NYMDOccupational Therapist
010651NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo Rosato Physical Therapy PastSince Oct 1, 2002 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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1760480370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FRENCH RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131037",
            "telephone_number": "315-266-0010",
            "fax_number": "315-266-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FRENCH RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131037",
            "telephone_number": "315-266-0010",
            "fax_number": "315-266-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSATO",
        "first_name": "ANGELO",
        "middle_name": "CARMEN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010651-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02292717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.