East End Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0047041 Issued in NY

Legal business name

EAST END PHYSICAL THERAPY, PC

Practice address

7905 Main Rd
Mattituck, NY 11952-0902

Phone

(631) 298-2041

Fax

(631) 298-1362

NPI assigned

Sep 15, 2006

Last updated

Jun 13, 2008By 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

Ms. Faye H McDew, RPT

Title

President

Phone

(631) 298-2041

Specialties & licenses 1

Addresses

Other names 1

• Faye McDew LPT Other name

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043316318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11952",
            "telephone_number": "631-298-2041",
            "fax_number": "631-298-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MAIN RD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520902",
            "telephone_number": "631-298-2041",
            "fax_number": "631-298-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MCDEW",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-298-2041",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0047041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faye McDew LPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• CVS Albany LLC (CVS Pharmacy # 03105)
• Laura Detemple, LMSE
• Dianne Lynn Dodge, RN
• Debra Ann Doka, R.N.
• Kristin Donato
• East End RN Care P.C.
• David Howan Eilbert, O.D.
• Jennifer Frances Elder, LMSW
• Susan Kristen Erickson, DDS
• Alyssa Veneruso Feinman, D.D.S.

• Physical Therapist in Mattituck, NY
• Providers in Mattituck, 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 Jun 13, 2008; 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.