NPIMap

Organization Active NPI

John Simmons P T P C

Doing business as Sports PT of Manhasset

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1003969726
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHN SIMMONS P T P C
Doing business as
Sports PT of Manhasset
Practice address
225 Community Drive
Suite 10 Sports Physical Therapy of Manhasset
Great Neck, NY 11021
Phone
(516) 829-7639
Fax
(516) 829-7352
NPI assigned
Jan 18, 2007
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Mr. John E Simmons III, PTNPI 1174677173
Title
President
Phone
(631) 266-1761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

225 Community Drive
Suite 10 Sports Physical Therapy of Manhasset
Great Neck, NY 11021

Mailing address

225 Community Drive
Suite 10 Sports Physical Therapy of Manhasset
Great Neck, NY 11021
Phone (516) 829-7639

Other names 1

  • Sports PT of Manhasset Doing business as

National Provider Directory

National Provider Directory

Locations

225 Community Dr
Ste 10
Great Neck, NY 11021
Phone (516) 829-7639

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1003969726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DRIVE",
            "address_2": "SUITE 10 SPORTS PHYSICAL THERAPY OF MANHASSET",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-829-7639",
            "fax_number": "516-829-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DRIVE",
            "address_2": "SUITE 10 SPORTS PHYSICAL THERAPY OF MANHASSET",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-829-7639",
            "fax_number": "516-829-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SIMMONS P T P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-266-1761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports PT of Manhasset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.