Active NPI
Stephen Michael Joseph, MA, PT, ATC, CSCS
- Physical Therapist
- Holbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016663
- Practice address
- 20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616 - Phone
- (631) 467-3700
- Fax
- (631) 467-0928
- NPI assigned
- Dec 14, 2005
- Last updated
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 016663 | NY | |
| Sports Physical Therapist | 2251S0007X | 016663 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 016663 | NY | |
| Physical Therapist | 225100000X | 016663 | NY | Primary |
Addresses
Primary practice location
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Mailing address
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Holbrook, NY 11741
Phone (631) 866-6507
1548 Carl Ave
Holbrook, NY 11741-2318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016663 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC | Physical Therapist | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Speonk Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Smithtown PC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400
9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400
100 Maple Ave
Smithtown, NY 11787
Phone (631) 265-7671
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Holbrook, NY
- NPI 1326355132
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Physical Therapist
- Smithtown, NY
- NPI 1912075763
-
- Physical Therapist
- Speonk, NY
- NPI 1730216409
-
- Physical Therapist
- Holbrook, NY
- NPI 1528096302
-
dba AdvantageCare Physicians Urgent Care
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1063497717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA, PT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "016663",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "016663",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "016663",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.