Active NPI
M & L Physical Therapy P C
- Physical Therapy Clinic/Center
- Valley Stream, NY
National Provider Identifier
1003169962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leigh-Ann Edison, PT, DPT, CSCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Valley Stream, NY
- NPI 1629304829
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.