Individual provider Active NPI

Matthew Steven Aquilino

  • Physical Therapist
  • Carmel, NY
National Provider Identifier
1821719865
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049383-01 Issued in NY
Practice address
1611 Route 6
Carmel, NY 10512-1933
Phone
(845) 225-2000
Fax
(845) 225-5600
NPI assigned
Sep 8, 2022
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 049383-01 NY Primary

Addresses

Primary practice location

1611 Route 6
Carmel, NY 10512-1933

Mailing address

1611 Route 6
Carmel, NY 10512-1933
Phone (845) 225-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000748 NY Practitioner - Physical Therapist in Private Practice 6103290994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Performance PT LLCGroup PAC ID 8628383056, 3 clinicians

Practice addresses (Care Compare)

1611 Route 6
Carmel, NY 10512-1933
Phone (845) 225-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049383-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Performance PT, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

1611 Route 6
Carmel, NY 10512
Phone (845) 225-2000

985 Route 376
Ste 21
Wappingers Falls, NY 12590
Phone (845) 225-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1821719865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121933",
            "telephone_number": "845-225-2000",
            "fax_number": "845-225-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121933",
            "telephone_number": "845-225-2000",
            "fax_number": "845-225-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUILINO",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049383-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.