Allied Home Physical Therapy Services,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024778 Issued in NY

Legal business name

ALLIED HOME PHYSICAL THERAPY SERVICES,PC

Practice address

249 Norwood St
Islip Terrace, NY 11752-1812

Phone

(631) 650-1939

Fax

(631) 650-1939

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bradford J Matalon, MSPTNPI 1881721892

Title

President

Phone

(631) 650-1939

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.

• Bradford J Matalon, MSPT

  • Physical Therapist
  • Islip Terrance, NY
  • NPI 1881721892
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033246830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 NORWOOD ST",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521812",
            "telephone_number": "631-650-1939",
            "fax_number": "631-650-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 NORWOOD ST",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521812",
            "telephone_number": "631-650-1939",
            "fax_number": "631-650-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HOME PHYSICAL THERAPY SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATALON",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-650-1939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accel Physical Therapy Wellness PC
• Advance Wellness Services Inc
• Advanced Staffing Services Inc.
• Felicia Denise Alberry, PHARMD
• Jackelyn Jaidda Alicea
• Donna Antonelli
• Toni-Ann Antoniato, MS CCC SLP
• Arinze Adult Daycare LLC
• Ximena Bailey, LCSW
• Balance Acupuncture of L.I

• Physical Therapist in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.