Joseph Michael Persico, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045256 Issued in NY

Practice address

4250 Hempstead Tpke
Suite 1
Bethpage, NY 11714-5707

Phone

(516) 579-7870

Fax

(516) 579-7867

NPI assigned

Oct 22, 2024

Sex

Male

Sole proprietor

No

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, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Bethpage Physical Therapy Assoc PC

  • Specialist
  • Bethpage, NY
  • NPI 1518138452
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1831910801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE STE 1",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145707",
            "telephone_number": "516-579-7870",
            "fax_number": "516-579-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 1",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145707",
            "telephone_number": "516-579-7870",
            "fax_number": "516-579-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSICO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Pereira, RPH
• Lori-Ann Perez
• Craig Douglas Perlman, D.O.
• Daryl Perlman, D.O.
• Kara S Perlmutter, OTR/L
• Deborah J. Peterec
• Peyman Zandieh, MD PC
• Preetha Phillips Joseph, DO
• Richard Picardi
• Peter T Pickering, M.D.

• Physical Therapist in Bethpage, NY
• Providers in Bethpage, 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 Oct 22, 2024; 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.