MICHAEL SCOTTODIMASO AND TARA DEROSA, PT, OT, PLLC
NPI 1154575074
Physical Therapist in Babylon, NY
About Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SCOTTODIMASO AND TARA DEROSA, PT, OT, PLLC (NPI 1154575074), doing business as Cbc Ctr For Sports & Physical Therapy, is a healthcare organization registered as a physical therapist in Babylon, New York and active in the NPI registry since November 2008. The organization maintains 2 additional practice locations and lists Michael Scottodimaso, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC's NPI number?
The NPI number for Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC is 1154575074. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider was formerly known as CBC Ctr for Sports & Physical Therapy.
Where is Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC located?
Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC is located at 51 John St Ste 3, Babylon, NY 11702. The listed phone number is (631) 669-0333.
What is Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC enrolled in Medicare?
Yes. Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michael Scottodimaso And Tara Derosa, Pt, Ot, PLLC was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.