Organization Active NPI

Ny Physical Therapy in Home Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Levittown, NY
National Provider Identifier
1043813306
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NY PHYSICAL THERAPY IN HOME THERAPY PLLC
Practice address
650 Wantagh Ave
Levittown, NY 11756-5390
Phone
(516) 261-9510
Fax
(516) 597-5541
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Mark Diaz, PTNPI 1609857853
Title
Owner/PT
Phone
(516) 261-9510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

650 Wantagh Ave
Levittown, NY 11756-5390

Mailing address

650 Wantagh Ave
Levittown, NY 11756-5390
Phone (162) 619-5105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1043813306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "162-619-5105",
            "fax_number": "516-597-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "516-261-9510",
            "fax_number": "516-597-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHYSICAL THERAPY IN HOME THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "516-261-9510",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.