Individual provider Active NPI

Angelo Zuppa, PT, DPT

  • Orthopedic Physical Therapist
  • Burnt Hills, NY
National Provider Identifier
1922104652
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
027474 Issued in NY
Practice address
105 Lake Hill Rd
Suite 4
Burnt Hills, NY 12027-9507
Phone
(518) 952-7780
Fax
(888) 370-2441
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 027474 NY Primary

Addresses

Primary practice location

105 Lake Hill Rd
Suite 4
Burnt Hills, NY 12027-9507

Mailing address

105 Lake Hill Rd
Suite 4
Burnt Hills, NY 12027-9507
Phone (518) 952-7780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000592 NY Practitioner - Physical Therapist in Private Practice 7810915121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuppa Physical Therapy PCGroup PAC ID 8729228671, 6 clinicians

Practice addresses (Care Compare)

801 State Route 50
Suite 1
Burnt Hills, NY 12027-9515
Phone (518) 952-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027474NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zuppa Physical Therapy PC CurrentSince Apr 1, 2013 Accepting new patients
Columbia Physical Therapy PC Orthopedic PastSince Jun 1, 2007 Accepting new patients
Prohealth Physicians PC Past Accepting new patients

Locations

801 State Route 50
#1
Burnt Hills, NY 12027
Phone (518) 952-7780

105 Lake Hill Rd
Ste 4
Burnt Hills, NY 12027
Phone (518) 878-1805

Organizations & group practices 3

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1922104652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAKE HILL RD",
            "address_2": "SUITE 4",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279507",
            "telephone_number": "518-952-7780",
            "fax_number": "888-370-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAKE HILL RD",
            "address_2": "SUITE 4",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279507",
            "telephone_number": "518-952-7780",
            "fax_number": "888-370-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPPA",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "027474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.