NPIMap

Organization Active NPI

Southern Nassau Physical Therapy P C

Doing business as Peak Performance Physical Therapy

  • Specialist
  • Lynbrook, NY
National Provider Identifier
1023164142
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHERN NASSAU PHYSICAL THERAPY P C
Doing business as
Peak Performance Physical Therapy
Practice address
44 Broadway
Lynbrook, NY 11563-2519
Phone
(516) 599-8734
Fax
(516) 599-5969
NPI assigned
Jan 25, 2007
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN NASSAU PTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Joseph Francis Sullivan, PT, OCS, CSCSNPI 1972679363
Title
President
Phone
(516) 599-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

44 Broadway
Lynbrook, NY 11563-2519

Mailing address

44 Broadway
Lynbrook, NY 11563-2519
Phone (516) 599-8734

Other names 1

  • PEAK PERFORMANCE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Part of
Southern Nassau Physical Therapy PC

Locations

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

44 Broadway
Lynbrook, NY 11563
Phone (516) 599-8734

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1023164142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-599-8734",
            "fax_number": "516-599-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NASSAU PHYSICAL THERAPY P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN NASSAU PT",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-599-8734",
        "authorized_official_credential": "PT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.