Joshua W Connor, DPT
Individual provider Active NPI Physical Therapist · N Merrick, NY
NPI 1013689066 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1013689066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1757 Merrick Ave Ste 100
N Merrick, NY 11566-2717 - Phone
- (516) 623-4388
- Fax
- (516) 623-1948
- NPI assigned
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211021001766 | NY | Practitioner - Physical Medicine and Rehabilitation | 8224426390 | Reassigns benefits to 1 organization |
| I20220617001996 | FL | Practitioner - Physical Therapist in Private Practice | 8224426390 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Solutions Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
| Florida Strong Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Flow Physical Therapy Sports Performance and Wellness LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1757 Merrick Ave
Ste 100
North Merrick, NY 11566
Phone (516) 474-9585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1757 Merrick Ave Ste 100
N Merrick, NY 11566-2717
Mailing address
1757 Merrick Ave Ste 100
N Merrick, NY 11566-2717
Phone (516) 623-4388
Other providers in N Merrick, NY
- 20-20 Pathways LCSW PLLC
- Judith L Leib Annunziata
- Margaret Mary Callaghan
- Allison M Castellano
- Victoria A. Hulton
- Alberto Lopez
- Donna Martino
- Barbara Marie Martinson
- Suzanne Elizabeth McElligott
All providers in N Merrick, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.