Organization · Type 2 NPI

Michael Scottodimaso and Tara Derosa, Pt, Ot, PLLC

Physical Therapist · Babylon, NY

NPI number 1154575074 Active

Practice location

51 John St Ste 3
Babylon, NY 11702-2928

Call (631) 669-0333 Map

Fax (631) 669-2436

Other practice locations

  • 5500 Merrick Rd, Massapequa, NY 11758-6231 · (631) 669-0333
  • 111 Grand Ave, Massapequa, NY 11758-4905 · (631) 669-0333

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X0129451 (NY)
Occupational Therapist 225X00000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1154575074

Michael Scottodimaso and Tara Derosa, Pt, Ot, PLLC's National Provider Identifier is 1154575074, issued on Nov 5, 2008. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Babylon, NY. The record was last updated on Mar 20, 2026.