Active NPI
Saldy John Delariarte Deocampo, P.T
- Physical Therapist
- Southbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14315
- Practice address
- 655 Main St S
Southbury, CT 06488-4220 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040203 | NY | |
| Physical Therapist | 225100000X | 14315 | CT | Primary |
Addresses
Primary practice location
655 Main St S
Southbury, CT 06488-4220
Mailing address
1622 Farmington Ave Apt 8
Unionville, CT 06085-1231
Phone (917) 703-4080
Other practice location 1
1622 Farmington Ave Apt 8
Unionville, CT 06085-1231
Phone (917) 703-4080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT CT, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Southbury, CT 06488
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040203 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT CT, LLC | Physical Therapist | Current | Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
976 Amsterdam Ave
New York, NY 10025
Phone (212) 222-9305
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
Organizations & group practices 5
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.
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- NPI 1245584234
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- Wolcott, CT
- NPI 1861677262
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1770933269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 FARMINGTON AVE APT 8",
"city": "UNIONVILLE",
"state": "CT",
"postal_code": "060851231",
"telephone_number": "917-703-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MAIN ST S",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884220",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [
{
"address_1": "1622 Farmington Ave Apt 8",
"address_purpose": "LOCATION",
"city": "Unionville",
"state": "CT",
"postal_code": "060851231",
"country_code": "US",
"telephone_number": "917-703-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEOCAMPO",
"first_name": "SALDY JOHN",
"middle_name": "DELARIARTE",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040203",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT CT, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "655 Main St S",
"city": "Southbury",
"state": "CT",
"country_code": "US",
"postal_code": "064884220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.