Active NPI
Patricia Cooney
- Physical Therapist
- Manorville, NY
National Provider Identifier
1063559854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026611-1
- Practice address
- 5 Tee View CT
Manorville, NY 11949-2939 - Phone
- (631) 874-3032
- Fax
- (631) 874-4105
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026611-1 | NY | Primary |
Addresses
Primary practice location
5 Tee View CT
Manorville, NY 11949-2939
Mailing address
16 Barnstable Rd
East Rockaway, NY 11518-2404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026611-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063559854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BARNSTABLE RD",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115182404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TEE VIEW CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492939",
"telephone_number": "631-874-3032",
"fax_number": "631-874-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026611-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manorville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.