Individual provider Active NPI

Karen J. Maltese, PT

  • Physical Therapist
  • Dix Hills, NY
National Provider Identifier
1922364884
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010989-1 Issued in NY
Practice address
337 Deer Park Rd
Sunrise Dix Hills
Dix Hills, NY 11746-5203
Phone
(631) 786-3169
Fax
(631) 239-6774
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010989-1 NY Primary
Geriatric Physical Therapist 2251G0304X 010989-1 NY
Neurology Physical Therapist 2251N0400X 010989-01 NY
Sports Physical Therapist 2251S0007X 010989-1 NY
Orthopedic Physical Therapist 2251X0800X 010989-1 NY

Addresses

Primary practice location

337 Deer Park Rd
Sunrise Dix Hills
Dix Hills, NY 11746-5203

Mailing address

805 2ND St
East Northport, NY 11731-1811
Phone (631) 786-3169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010989NYMDPsychologist
010989-01NYMDNeurology Physical Therapist
010989-1NYMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Levy & Levy Physical Therapy PC Orthopedic PastSince Feb 28, 2001 Accepting new patients

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1922364884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 2ND ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311811",
            "telephone_number": "631-786-3169",
            "fax_number": "631-239-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 DEER PARK RD",
            "address_2": "SUNRISE DIX HILLS",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465203",
            "telephone_number": "631-786-3169",
            "fax_number": "631-239-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "KAREN",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010989-1",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "010989-1",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "010989-01",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "010989-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "010989-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.