Active NPI
Skyler Morakkabi, PT
- Physical Therapist
- South Setauket, NY
National Provider Identifier
1013638857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049022
- Practice address
- 1 Jefferson Ferry Dr
South Setauket, NY 11720-4708 - Phone
- (631) 650-2700
- NPI assigned
- Sep 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049022 | NY | Primary |
Addresses
Primary practice location
1 Jefferson Ferry Dr
South Setauket, NY 11720-4708
Mailing address
98 Cedar Point Dr
West Islip, NY 11795-5014
Phone (516) 319-9103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1013638857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 CEDAR POINT DR",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117955014",
"telephone_number": "516-319-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFFERSON FERRY DR",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117204708",
"telephone_number": "631-650-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAKKABI",
"first_name": "SKYLER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.