Organization Active NPI

Island Sports Physiotherapy of East Meadow, PC

  • Physical Therapy Clinic/Center
  • East Meadow, NY
National Provider Identifier
1043265440
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW, PC
Practice address
625 Merrick Ave
East Meadow, NY 11554-3740
Phone
(516) 564-9000
Fax
(516) 485-6033
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization
ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Keith A May, P.T.NPI 1821034414
Title
President
Phone
(631) 462-9595

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

625 Merrick Ave
East Meadow, NY 11554-3740

Mailing address

625 Merrick Ave
East Meadow, NY 11554-3740
Phone (516) 564-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000912 NY Part B Supplier - Clinic/Group Practice 0547163008 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Meadow, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Island Sports PT of Eas

Locations

625 Merrick Ave
East Meadow, NY 11554
Phone (516) 564-9000

617 Merrick Ave
East Meadow, NY 11554
Phone (516) 564-9000

833 Franklin Ave
Garden City, NY 11530

Practitioners & affiliated clinicians

Practitioners 4

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1043265440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543740",
            "telephone_number": "516-564-9000",
            "fax_number": "516-485-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543740",
            "telephone_number": "516-564-9000",
            "fax_number": "516-485-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW,PC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-462-9595",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.