Organization Active NPI

Tandem in Care Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • North Bellmore, NY
National Provider Identifier
1013575539
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TANDEM IN CARE PHYSICAL THERAPY, PLLC
Practice address
1467 Bellmore Ave
North Bellmore, NY 11710-5501
Phone
(516) 382-7379
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Laxmi De Jesus, PT, DPTNPI 1689116493
Title
Manager/Owner
Phone
(516) 382-7379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1467 Bellmore Ave
North Bellmore, NY 11710-5501

Mailing address

1467 Bellmore Ave
North Bellmore, NY 11710-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190711000220 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850626003 Receives reassigned benefits from 1 practitioner
Practice locations: North Bellmore, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1013575539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105501",
            "telephone_number": "516-382-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM IN CARE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "LAXMI",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "516-382-7379",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.