MEDICARE: MR. MICHAEL J CASTANIA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	029382	NY
2	225100000X	Physical Therapist	40QA01249900	NJ

General Provider Information

NPI Number	:	1013101344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL J CASTANIA PT

Provider Business Mailing Address
First Line	:	345 HILLMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3329
Country	:	US
Telephone Number	:	917-566-8137
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 BRICK CT
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1960
Country	:	US
Telephone Number	:	917-566-8137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	01/22/2026

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