Old Brookville Physical Therapy & Sports Rehabilitation, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3509 Issued in NY

Legal business name

OLD BROOKVILLE PHYSICAL THERAPY & SPORTS REHABILITATION, P.C.

Practice address

55 Bryant Ave
2ND Floor
Roslyn, NY 11576-1139

Phone

(516) 554-7165

Fax

(516) 625-7701

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fredric Joel Schwartz, P.T.

Title

President/Physical Therapist

Phone

(516) 554-7165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1003917899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HEMLOCK LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421432",
            "telephone_number": "516-554-7165",
            "fax_number": "516-625-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE",
            "address_2": "2ND FLOOR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "516-554-7165",
            "fax_number": "516-625-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BROOKVILLE PHYSICAL THERAPY & SPORTS REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-554-7165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Nugent, P.A.
• Lisa Nyffler, P.A.
• Karen Louise O'Brien, ANP
• Cassandra Marie O'Connor, MD
• Somtoochukwu Ojukwu, PHARMD
• Katherine Olofson, RPA-C
• Olivia Paige Omage, PA-C
• Optimized Independence OT PLLC
• Edward Hamza Oruci, M.D.
• Jillian Marie Oswald, ANP

• Physical Therapist in Roslyn, NY
• Providers in Roslyn, 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 Jan 5, 2011; 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.