NPIMap

Organization Active NPI

Mary Ann Distefano PT PC

  • Physical Therapist
  • Wappingers Falls, NY
National Provider Identifier
1922285204
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5069 Issued in NY
Legal business name
MARY ANN DISTEFANO PT PC
Practice address
3 Spring St
Wappingers Falls, NY 12590-2424
Phone
(845) 297-4110
Fax
(845) 298-7099
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Mrs. Mary Ann DistefanoNPI 1780676528
Title
Physical Therapist
Phone
(845) 297-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5069 NY Primary

Addresses

Primary practice location

3 Spring St
Wappingers Falls, NY 12590-2424

Mailing address

3 Spring St
Wappingers Falls, NY 12590-2424
Phone (845) 297-4110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1922285204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRING ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902424",
            "telephone_number": "845-297-4110",
            "fax_number": "845-298-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRING ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902424",
            "telephone_number": "845-297-4110",
            "fax_number": "845-298-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN DISTEFANO PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-297-4110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.