Michael Scottodimaso and Tara Derosa, PT, OT, PLLC
NPI 1154575074ActiveOrganization· Physical Therapist· Babylon, NY
Physical Therapist in Babylon, New York, registered in NPPES in November 2008. The authorized official on file is Michael Scottodimaso, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154575074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2008 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0129451 | NY |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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All 37 physical therapists in Babylon · All physical therapists in New York