Organization Active NPI

M & L Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1003169962
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
M & L PHYSICAL THERAPY P C
Practice address
2 Verona PL
Valley Stream, NY 11580-5422
Phone
(516) 761-1017
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leigh-Ann Edison, PT, DPT, CSCSNPI 1629304829
Title
Owner/Physical Therapist
Phone
(516) 761-1017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2 Verona PL
Valley Stream, NY 11580-5422

Mailing address

2 Verona PL
Valley Stream, NY 11580-5422

Other names 1

  • Paramount Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000001 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315183613 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

11 Sunrise Plz
Ste 1
Valley Stream, NY 11580
Phone (516) 218-2555

11 Sunrise Plz
Valley Stream, NY 11580
Phone (516) 218-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1003169962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VERONA PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VERONA PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805422",
            "telephone_number": "516-761-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & L PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "LEIGH-ANN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-761-1017",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.