Individual provider Active NPI

Joseph D Spallone, P.T.

  • Specialist
  • New York, NY
National Provider Identifier
1972578656
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
011932 Issued in NY
Practice address
119 W 23Rd St
Function First Physical Therapy, Suite 804
New York, NY 10011-2427
Phone
(212) 691-4833
Fax
(212) 691-4532
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 011932 NY Primary

Addresses

Primary practice location

119 W 23Rd St
Function First Physical Therapy, Suite 804
New York, NY 10011-2427

Mailing address

119 W 23Rd St
Function First Physical Therapy, Suite 804
New York, NY 10011-2427
Phone (212) 691-4833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000751 NY Practitioner - Physical Therapist in Private Practice 4183652944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function First Physical Therapy PCGroup PAC ID 7618905712, 2 clinicians

Practice addresses (Care Compare)

119 W 23Rd St
Suite 804
New York, NY 10011-6344
Phone (212) 691-4833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011932NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Function First Physical Therapy P C CurrentSince Jun 8, 2001 Accepting new patients
Professional Sportscare of New York, LLC PastSince Jan 26, 2009 Accepting new patients

Locations

119 W 23rd St
Ste 804
New York, NY 10011
Phone (212) 691-4833

Organizations & group practices 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1972578656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST",
            "address_2": "FUNCTION FIRST PHYSICAL THERAPY, SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112427",
            "telephone_number": "212-691-4833",
            "fax_number": "212-691-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST",
            "address_2": "FUNCTION FIRST PHYSICAL THERAPY, SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112427",
            "telephone_number": "212-691-4833",
            "fax_number": "212-691-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALLONE",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.