Paulo Mendoza Duata, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041533 Issued in NY

Practice address

301 Hackett Blvd
Albany, NY 12208-1963

Phone

(518) 525-7671

NPI assigned

May 12, 2023

Last updated

May 12, 2023By the provider in NPPES

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Nova Rehab PT OT PLLCGroup PAC ID 5395244685, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308
  Medicare reassignment Care Compare group NPD
• Nova Rehab PT OT PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1801782750
  Medicare reassignment Care Compare group
• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • De Witt, NY
  • NPI 1346530169
  Medicare reassignment NPD
• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  Medicare reassignment NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1811687833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTY ROUTE 28 APT 15",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121844942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081963",
            "telephone_number": "518-525-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUATA",
        "first_name": "PAULO",
        "middle_name": "MENDOZA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Drury, DPT
• Lisa Marie Drzymala
• Alexandra K Drzymalski, NP
• Jolanta Drzymalski, DDS
• Karen Duane
• Rachel Dubay, CRNA
• Brandon D Dubois, DPT
• Nicole Dubose, CPD
• Natasha Duchesne, LCSW
• Lawrence Stephen Duda, DDS

• Physical Therapist in Albany, NY
• Providers in Albany, 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 May 12, 2023; 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.