MICHAEL DISTEFANO (NPI# 1124647631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124647631 |
| Entity Type | Individual |
| Full Name | MICHAEL DISTEFANO |
| Practice Address |
4711 Hylan Blvd Staten Island NY 10312-6311 |
| Practice Telephone | 3477393778 |
| Mailing Telephone | 3477393778 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 012677 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4870 Hylan Blvd, Staten Island, NY 103126322 | 7182004122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407883887 | Michael Charles Distefano | Orthopaedic Surgery | 140 Route 17 North, Suite 255, Paramus, NJ 07652 | 2006-06-28 |
| 1396732715 | Michael Joseph Distefano | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2005-09-30 |
| 1558803551 | Michael Distefano | Specialist/Technologist | 9 Dog Ln, Suite 108, Storrs, CT 06268-2239 | 2016-11-08 |
| 1669552006 | Michael Distefano | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-17 |
| Street Address |
4711 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101317 | Claudia Distefano | Physical Therapist | 4711 Hylan Blvd, Staten Island, NY 10312-6311 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689425 | Maitry Damanwala | Physical Therapist | 774 Manor Rd Ste 210, Staten Island, NY 10314-7000 | 2020-11-08 |
| 1700486362 | Hamdi Darouich | Physical Therapist | 180 Greenleaf Ave, Staten Island, NY 10310-2640 | 2020-10-31 |
| 1548876451 | Hands On Physical Therapy Care PC | Physical Therapist | 55 Scranton St, Staten Island, NY 10304-4308 | 2020-09-17 |
| 1538775408 | Michael Ryan Semler | Physical Therapist | 161 Steinway Ave, Staten Island, NY 10314-4819 | 2020-09-16 |
| 1932712940 | Joselito N Medida | Physical Therapist | 77 Schoharie St, Staten Island, NY 10301-4205 | 2020-08-28 |
| 1205448552 | Carmel Festa | Physical Therapist | 935 W Fingerboard Rd, Staten Island, NY 10304-4413 | 2020-08-18 |
| 1851902613 | Nofisat Onatunde | Physical Therapist | 52 Amador St, Staten Island, NY 10303-1709 | 2020-08-13 |
| 1831708270 | Ereny Atallah | Physical Therapist | 237 Brookfield Ave # 10308, Staten Island, NY 10308-1441 | 2020-07-30 |
| 1598391922 | Stephanie D'angelo | Physical Therapist | 106 Elmira St, Staten Island, NY 10306-4138 | 2020-03-17 |
| 1821620428 | Emily Folino | Physical Therapist | 743 Sinclair Ave, Staten Island, NY 10312-2524 | 2020-02-11 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.