Active NPI
Ny Physical Therapy in Home Therapy PLLC
- Physical Medicine & Rehabilitation Physician
- Levittown, NY
National Provider Identifier
1043813306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Diaz, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Franklin Square, NY
- NPI 1609857853
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
- North Queens Optometric Associates PLLC
- Northeast College of Health Sciences
- Nourhan Mekawy, DDS
- Ny Physical Therapy & Wellness Levittown PLLC
- Ny Physical Therapy & Wellness, Levittown, PLLC
- Ny Physical Therapy in Home Therapy PLLC
- Ny Teletherapy
- Erin O'Leary-Lucas
- Donna O'Rourke, OTR
- Vivien Odenigbo
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.