Individual provider Active NPI

Stephanie I Natale, PT

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1780767962
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017884-1 Issued in NY
Practice address
1 Expressway PLZ Ste 106
Roslyn Heights, NY 11577-2069
Phone
(516) 621-2681
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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 017884-1 NY Primary

Addresses

Primary practice location

1 Expressway PLZ Ste 106
Roslyn Heights, NY 11577-2069

Mailing address

32 Geranium Ave
Mineola, NY 11501-4631
Phone (718) 225-5153

Other practice location 1

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone (718) 951-8800 ext. 1123

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
017884-1NYMDPhysical Therapist
017884NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Extraordinary Pediatrics, PC Past 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1780767962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GERANIUM AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014631",
            "telephone_number": "718-225-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ STE 106",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772069",
            "telephone_number": "516-621-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112104730",
            "country_code": "US",
            "telephone_number": "718-951-8800 x1123",
            "fax_number": "718-951-0846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATALE",
        "first_name": "STEPHANIE",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017884-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.