Raffaele Taddeo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028929-1 Issued in NY

Practice address

170 Crossways Park Dr
Woodbury, NY 11797-2029

Phone

(516) 921-2900

Fax

(516) 921-7922

NPI assigned

Sep 12, 2007

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, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Precision Sports Physical Therapy, PLLCGroup PAC ID 6901897651, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Precision Sports Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Woodbury, NY
  • NPI 1689746687
  Medicare reassignment Care Compare group NPD
• PS Physical Therapy

  • Physical Therapy Clinic/Center
  • Woodbury, NY
  • NPI 1033583604
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1871788810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972029",
            "telephone_number": "516-921-2900",
            "fax_number": "516-921-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972029",
            "telephone_number": "516-921-2900",
            "fax_number": "516-921-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "RAFFAELE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028929-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukbum Yoo Dental PLLC (Central Endodontics of Long Island)
• Nancy Nan Szu Sun, MD
• Elizabeth K Sunshine, LMSW
• Robert D Sunshine, MD
• Dena Surks, D.M.D.
• Andrew Anthony Tarleton, M.D.
• Michael Daniel Tauriello, PA
• Emily Taussig, DPT
• Lisa Tepfer, NP
• Devon Testa, LCSW

• Physical Therapist in Woodbury, NY
• Providers in Woodbury, 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 Jun 11, 2008; 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.