NPIMap

Organization Active NPI

Spectrum Physical Therapy & Chiropractic, PLLC

  • Physical Therapist
  • Levittown, NY
National Provider Identifier
1063454148
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019821 Issued in NY
Legal business name
SPECTRUM PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Practice address
3272 Hempstead Tpke
Levittown, NY 11756-1345
Phone
(516) 731-1980
Fax
(516) 731-2999
NPI assigned
Jun 12, 2006
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Jana Lori Herr, P.T., M.S.NPI 1710926910
Title
Managing Partner
Phone
(516) 694-4426

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007197 NY
Physical Therapist 225100000X 025547 NY
Physical Therapist 225100000X 019821 NY Primary

Addresses

Primary practice location

3272 Hempstead Tpke
Levittown, NY 11756-1345

Mailing address

3272 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 731-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060317000083 NY Part B Supplier - Clinic/Group Practice 8123035078 Receives reassigned benefits from 4 practitioners
Practice locations: Levittown, NY

National Provider Directory

National Provider Directory

Locations

998 Carmans Rd
Massapequa, NY 11758
Phone (516) 541-4730

Practitioners & affiliated clinicians

Practitioners 9

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1063454148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561345",
            "telephone_number": "516-731-1980",
            "fax_number": "516-731-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561345",
            "telephone_number": "516-731-1980",
            "fax_number": "516-731-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY & CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "LORI",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "516-694-4426",
        "authorized_official_credential": "P.T., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007197",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025547",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019821",
            "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 May 15, 2023; 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.