Individual provider Active NPI

Robert Troiano, P.T.

  • Physical Therapist
  • Kings Park, NY
National Provider Identifier
1912905241
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011230-1 Issued in NY
Practice address
152 Main St
Kings Park, NY 11754-2605
Phone
(631) 269-6652
Fax
(631) 269-6654
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 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 011230-1 NY Primary

Addresses

Primary practice location

152 Main St
Kings Park, NY 11754-2605

Mailing address

152 Main St
Kings Park, NY 11754-2605
Phone (631) 269-6652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323002070 NY Practitioner - Physical Therapist in Private Practice 7012808454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as individual
Quality
76.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011230-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Physical Therapy and Hand Rehabilitation of Kings Park, PL Physical Medicine & Rehabilitation CurrentSince Feb 1, 2004 Accepting new patients

Locations

152 Main St
Kings Park, NY 11754
Phone (631) 269-6652

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1912905241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542605",
            "telephone_number": "631-269-6652",
            "fax_number": "631-269-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542605",
            "telephone_number": "631-269-6652",
            "fax_number": "631-269-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROIANO",
        "first_name": "ROBERT",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011230-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.