NPIMap

Organization Active NPI

Twentyseveneastphysiotherapy PC

  • Physical Therapy Clinic/Center
  • Sag Harbor, NY
National Provider Identifier
1013549807
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TWENTYSEVENEASTPHYSIOTHERAPY PC
Practice address
34 Bay Street
Suite 206
Sag Harbor, NY 11963
Phone
(631) 919-5189
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Authorized official

Name
Sinead Fitzgibbon, PT, PHD
Title
Co-Owner, Partner
Phone
(631) 484-5416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

34 Bay Street
Suite 206
Sag Harbor, NY 11963

Mailing address

Pob 2333
Sag Harbor, NY 11963
Phone (631) 919-5189

National Provider Directory

National Provider Directory

Locations

34 Bay St
Ste 205
Sag Harbor, NY 11963
Phone (631) 919-5189

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1013549807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 2333",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "11963",
            "telephone_number": "631-919-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BAY STREET",
            "address_2": "SUITE 206",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "11963",
            "telephone_number": "631-919-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTYSEVENEASTPHYSIOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBON",
        "authorized_official_first_name": "SINEAD",
        "authorized_official_title_or_position": "CO-OWNER, PARTNER",
        "authorized_official_telephone_number": "631-484-5416",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sag Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.