515 Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1451 Issued in NY

Legal business name

515 PHYSICAL THERAPY LLC

Practice address

515 Physical Therapy LLC
Suite 101
Hauppauge, NY 11788

Phone

(631) 265-2225

Fax

(631) 265-3610

NPI assigned

Sep 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul J Dioguardi Jr., PT

Title

Physical Therapist

Phone

(631) 473-5036

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Elliot Lance Forman, D.C.

  • Chiropractor
  • Hauppauge, NY
  • NPI 1902980071
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043314172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "address_2": "SUITE 101",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-265-2225",
            "fax_number": "631-265-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PHYSICAL THERAPY LLC",
            "address_2": "SUITE 101",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-265-2225",
            "fax_number": "631-265-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "515 PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-473-5036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 523 Townline Dental PLLC (Hoffer Dental Care)
• Lauren Abelow
• Jaclyn C Abrahall, FNP-C, CDCES
• Joseph A Abraham, PH.D.
• Lina Abu-Saab, OD

• Physical Therapist in Hauppauge, NY
• Providers in Hauppauge, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.