=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437271616
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MASEFIELD&CAVALLARO PHYSICAL THERAPY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2007
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 69 GUYON AVE
-----------------------------------------------------
City | STATEN ISLAND
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10306-2018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-979-7013
-----------------------------------------------------
Fax | 718-980-2868
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7608 15TH AVE
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11228-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-259-0900
-----------------------------------------------------
Fax | 718-232-5048
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. JOY MASEFIELD
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 718-259-0900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 13798
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------