Sunshine Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5744-1 Issued in NY

Legal business name

SUNSHINE PHYSICAL THERAPY, PC

Practice address

297 Commack Rd
Commack, NY 11725-3401

Phone

(631) 499-1038

Fax

(631) 499-2293

NPI assigned

Jun 18, 2006

Last updated

Mar 13, 2009By 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

Mrs. Venise Mule-Glass, PTNPI 1720061773

Title

Director/Owner

Phone

(631) 499-1038

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Orthopedic & Sports Physical Therapy, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Venise Mule-Glass, PT

  • Physical Therapist
  • Commack, NY
  • NPI 1720061773
  Medicare reassignment NPD Authorized official
• Paul-Neil Czujko, PT

  • Physical Therapist
  • Commack, NY
  • NPI 1932144516
  NPD (past)
• Christopher Droesch, DPT

  • Physical Therapist
  • Commack, NY
  • NPI 1194309211
  NPD (past)
• Jacee Meryll Polo, PT

  • Physical Therapist
  • Commack, NY
  • NPI 1073540522
  NPD (past)
• Denise Shield, PT

  • Physical Therapist
  • Commack, NY
  • NPI 1972530541
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1063457661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253401",
            "telephone_number": "631-499-1038",
            "fax_number": "631-499-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253401",
            "telephone_number": "631-499-1038",
            "fax_number": "631-499-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MULE-GLASS",
        "authorized_official_first_name": "VENISE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "631-499-1038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5744-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Orthopedic & Sports Physical Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapist in Commack, NY
• Providers in Commack, 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 Mar 13, 2009; 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.