South Shore Integrated Physical Therapy, Acupuncture and Massage PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022171 Issued in NY

Legal business name

SOUTH SHORE INTEGRATED PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE PLLC

Practice address

718 Long Island Ave
Deer Park, NY 11729-4230

Phone

(631) 242-1818

Fax

(631) 242-1506

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Giovanni O Dinsay, PT

Title

Chairman

Phone

(516) 770-3127

Specialties & licenses 1

Addresses

Other names 1

• South Shore Integrated Therapy Doing business as

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1003220435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LONG ISLAND AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294230",
            "telephone_number": "631-242-1818",
            "fax_number": "631-242-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LONG ISLAND AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294230",
            "telephone_number": "631-242-1818",
            "fax_number": "631-242-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE INTEGRATED PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "DINSAY",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "516-770-3127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Integrated Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Marie Smith, LPN
• Melanie Smith
• Michelle Marie Sobel, L.P.N.
• Jerry A. Sokol, MD
• Christopher John Sorrentino, RPH
• South Shore Medical Care, PC
• Elana Jo Spahn
• Jenna Spatafora
• Olga Spathis, RPH
• Melanie Spitz

• Physical Therapist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.