Paul Damon Deserio, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022443 Issued in NY

Practice address

201 Conselyea St
Brooklyn, NY 11211-2516

Phone

(718) 782-1462

Fax

(718) 834-0768

NPI assigned

Jan 30, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Association for the Help of Retarded Children

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1851601777
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)
• Encompass Health Rehabilitation Hospital of Florence, Inc.

  • Rehabilitation Hospital
  • Florence, SC
  • NPI 1598738296
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276992000000",
    "number": "1891831186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 19TH AVE",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144684",
            "telephone_number": "888-806-2497",
            "fax_number": "888-806-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CONSELYEA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112516",
            "telephone_number": "718-782-1462",
            "fax_number": "718-834-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESERIO",
        "first_name": "PAUL",
        "middle_name": "DAMON",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taurai Genella Ellen Descartes, MSW
• Hannah Noel Deschaine, MS, CCC-SLP
• Andrew Edward Desear, LMSW
• Desena Physical Therapy PC
• Anthony Desena, PT
• Kelly Desfosse
• Marie-Yves Nathalie Desgrottes
• Schiller Y. Desgrottes, MD
• Deshbangla Pharmacy Inc
• Amit Anil Deshmukh, B.S. PHARMACY

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.