MICHAEL SCOTTODIMASO AND TARA DEROSA, PT, OT, PLLC
NPI 1154575074
Physical Therapist in Babylon, NY

Active since November 05, 2008
51 JOHN ST STE 3, BABYLON, NY 11702(631) 669-0333(631) 669-2436 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1154575074
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameMICHAEL SCOTTODIMASO AND TARA DEROSA, PT, OT, PLLC
Location Address51 JOHN ST STE 3Babylon, NY 11702-2928
Mailing Address51 John St Ste 3Babylon, NY 11702-2928 · (631) 669-0333 · Fax (631) 669-2436
Fax(631) 669-2436
Organization SubpartNo
Authorized OfficialMichael ScottodimasoOwner · (631) 669-0333
Enumeration DateNovember 5, 2008
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1154575074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 0129451
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
51 JOHN ST STE 3, Babylon, NY 11702

Other Names 1

Former Legal Business NameCbc Ctr For Sports & Physical Therapy

Secondary Practice Locations 2

Location 15500 Merrick RdMassapequa, NY 11758-6231 · Phone (631) 669-0333 · Fax (631) 669-2436
Location 2111 Grand AveMassapequa, NY 11758-4905 · Phone (631) 669-0333 · Fax (631) 669-2436

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

2

Medicare 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)

Physical Therapist in Private Practice
NPI 1497937056
51 JOHN ST STE 3
Babylon, NY 11702
(631) 669-0333
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1801530415
1250 WATERS PL
Bronx, NY 10461
(718) 409-9444
29 mi

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.