Individual provider Active NPI

John Denoyelles, DPT

  • Physical Therapist
  • Montgomery, NY
National Provider Identifier
1881027787
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037761 Issued in NY
Practice address
1128 State Route 17K Ste 3
Montgomery, NY 12549-2270
Phone
(845) 769-7777
Fax
(845) 769-0007
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9889 CT
Physical Therapist 225100000X 037761 NY Primary

Addresses

Primary practice location

1128 State Route 17K Ste 3
Montgomery, NY 12549-2270

Mailing address

1128 State Route 17K Ste 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901000175 NY Practitioner - Physical Therapist in Private Practice 0446484455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical Therapy, P. C. 7 clinicians

Practice addresses (Care Compare)

1128 State Route 17K
Suite 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

1751 State Route 17a
Suite 1L
Florida, NY 10921-1061
Phone (845) 769-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037761NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy, P. C. Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients

Locations

1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777

1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1881027787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 STATE ROUTE 17K STE 3",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492270",
            "telephone_number": "845-769-7777",
            "fax_number": "845-769-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 STATE ROUTE 17K STE 3",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492270",
            "telephone_number": "845-769-7777",
            "fax_number": "845-769-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOYELLES",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9889",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.