John Palamattathil Joseph, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045871 Issued in NY

Practice address

30 Durham Rd
New Hyde Park, NY 11040-2051

Phone

(516) 232-7920

NPI assigned

Dec 3, 2020

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

Other names 1

• Joseph Palamattathil John Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1790380079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DURHAM RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402051",
            "telephone_number": "516-232-7920",
            "fax_number": "516-466-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DURHAM RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402051",
            "telephone_number": "516-232-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAMATTATHIL JOSEPH",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "PALAMATTATHIL JOHN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christian Paghubasan
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• Mollyann Pais, MS, PA-C
• Pablo Xavier Palacios, MD
• Schafer Lance Paladichuk, DO
• Giovanni Palazzo, PHARMD
• Robert Palazzo, MD
• Stephen Palazzolo
• Christopher Palestro, MD
• Mary Camille Palisoc-Salazar, MD

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, 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 Nov 1, 2022; 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.