Provider Demographics
NPI: | 1457772717 |
---|---|
Name: | JOSEPH CASTELLI PT PLLC |
Entity Type: | Organization |
Organization Name: | JOSEPH CASTELLI PT PLLC |
Other - Org Name: | MOTUS PHYSIOTHERAPY & PERFORMANCE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PHYSICAL THERAPIST |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JOSEPH |
Authorized Official - Middle Name: | JOHN |
Authorized Official - Last Name: | CASTELLI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PT |
Authorized Official - Phone: | 646-734-5092 |
Mailing Address - Street 1: | 119 W 23RD ST |
Mailing Address - Street 2: | SUITE 804 |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10011-2427 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 646-734-5092 |
Mailing Address - Fax: | 646-863-2650 |
Practice Address - Street 1: | 119 W 23RD ST |
Practice Address - Street 2: | SUITE 804 |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10011-2427 |
Practice Address - Country: | US |
Practice Address - Phone: | 646-734-5092 |
Practice Address - Fax: | 646-365-3155 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-01-03 |
Last Update Date: | 2022-08-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 0214201 | 225100000X, 2251E1200X, 2251G0304X, 2251H1200X, 2251N0400X, 2251P0200X, 2251S0007X, 2251X0800X |
261QP2000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Single Specialty |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics | Group - Single Specialty |
No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | Group - Single Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Single Specialty |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Single Specialty |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Single Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Single Specialty |
No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | Group - Single Specialty |