Priority Care Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

013032-1 Issued in NY

Legal business name

PRIORITY CARE PHYSICAL THERAPY PC

Practice address

11 Franklin PL
Woodmere, NY 11598-1216

Phone

(516) 569-0373

Fax

(516) 569-0374

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Marc Goodheart, P.T.NPI 1588845390

Title

President

Phone

(516) 569-0373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Bruce Goodheart, P.T.

  • Physical Therapist
  • Woodmere, NY
  • NPI 1588845390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1023010352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981216",
            "telephone_number": "516-569-0373",
            "fax_number": "516-569-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981216",
            "telephone_number": "516-569-0373",
            "fax_number": "516-569-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "GOODHEART",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-569-0373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "013032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.