South Shore Pediatric Physical Therapy

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTH SHORE PEDIATRIC PHYSICAL THERAPY

Practice address

2415 Jerusalem Ave
North Bellmore, NY 11710-1870

Phone

(516) 785-5257

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Nicole Vito

Title

Service Coordinator

Phone

(516) 946-0547

Specialties & licenses 1

Addresses

Tax ID family

South Shore Pediatric Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• South Shore Pediatric Physical Therapy,LLP

  • Pediatric Physical Therapist
  • North Bellmore, NY
  • NPI 1447479563
  NPD tax ID

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1013461847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MELROSE AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-785-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "VITO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "516-946-0547"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fazal Rehman Siddiqui
• Eri Tina Siklas
• Ashley Simpson
• Allison Snyder
• Grace Soria
• South Shore Pediatric Physical Therapy,LLP
• Nicholas Spear, CCC-SLP
• Kathleen Spiess
• Robert Benjamin Spilker, D.D.S.
• Maria Spiris

• Case Management Agency in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.