Haven Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0252541 Issued in NY

Legal business name

HAVEN PHYSICAL THERAPY PLLC

Practice address

235 Mamaroneck Ave Ste 105
White Plains, NY 10605-1317

Phone

(914) 686-8844

Fax

(914) 686-8842

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Matthew CascioliNPI 1275621591

Title

Owner

Phone

(914) 686-8844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Cascioli, MPT

  • Specialist
  • White Plains, NY
  • NPI 1275621591
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1952719775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVE STE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051317",
            "telephone_number": "914-686-8844",
            "fax_number": "914-686-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVE STE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051317",
            "telephone_number": "914-686-8844",
            "fax_number": "914-686-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CASCIOLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-686-8844"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0252541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kurtz Hatem, P.T.
• Teresa Hatfield, PH.D.
• Despina Hatziergati, M.D.
• Kandice Haughton, NP
• Rebecca Hausner
• Johnny Hawkins, MS, LMFT
• Lisa Anne Hawkins, OTR/L
• Orane Hay, CRNA
• Kaylynn Marie Hayes
• HBL SNF LLC

• Physical Therapist in White Plains, NY
• Providers in White Plains, 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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.