NPIMap

Organization Active NPI

Gold Coast Physical Therapists & Therapy Assistants

  • Physical Therapist
  • Smithtown, NY
National Provider Identifier
1013203975
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOLD COAST PHYSICAL THERAPISTS & THERAPY ASSISTANTS
Practice address
309 Middle Country Road
Suite 202
Smithtown, NY 11787
Phone
(631) 656-5665
Fax
(631) 656-5664
NPI assigned
Jun 20, 2011
Organization subpart
Yes
Parent organization
GOLD COAST PHYSICAL THERAPISTS AND THERAPY ASSISTANTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Kathleen S Stratton
Title
Credentaling
Phone
(631) 262-7855

Specialties & licenses 1

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

Addresses

Primary practice location

309 Middle Country Road
Suite 202
Smithtown, NY 11787

Mailing address

755 New York Ave
Suite 106
Huntington, NY 11743
Phone (631) 351-7676

Other names 1

  • Gold Coast Physical Therapy and Sports Training Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gold Coast Physical Therapy4 organizations share this tax ID, including this one
Part of
Gold Coast Physical Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 E Middle Country Rd
Ste 202
Smithtown, NY 11787
Phone (631) 360-0313

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1013203975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 106",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-351-7676",
            "fax_number": "631-351-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MIDDLE COUNTRY ROAD",
            "address_2": "SUITE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-656-5665",
            "fax_number": "631-656-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PHYSICAL THERAPISTS & THERAPY ASSISTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLD COAST PHYSICAL THERAPISTS AND THERAPY ASSISTANTS",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTALING",
        "authorized_official_telephone_number": "631-262-7855"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Physical Therapy and Sports Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.