Organization Active NPI

Honest Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Centereach, NY
National Provider Identifier
1063996668
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
HONEST PHYSICAL THERAPY PLLC
Practice address
2100 Middle Country Rd
Suite 17 Lower Level
Centereach, NY 11720-3577
Phone
(631) 504-0680
Fax
(631) 204-6577
NPI assigned
Sep 19, 2018
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Matthew Esrick, PT, DPT, MBA, A-RSP
Title
Managing Member
Phone
(631) 504-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

2100 Middle Country Rd
Suite 17 Lower Level
Centereach, NY 11720-3577

Mailing address

2100 Middle Country Rd
Suite 17 Lower Level
Centereach, NY 11720-3577
Phone (631) 504-0680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181106000364 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486907656 Receives reassigned benefits from 1 practitioner
Practice locations: Centereach, NY

National Provider Directory

National Provider Directory

Locations

2100 Middle Country Rd
Ste 17
Centereach, NY 11720
Phone (631) 504-0680

2100 Middle Country Rd
Ste 17LL
Centereach, NY 11720
Phone (631) 504-0680

317 E Main St
Ste 7
Smithtown, NY 11787
Phone (631) 504-0680

Practitioners & affiliated clinicians

Practitioners 2

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1063996668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD",
            "address_2": "SUITE 17 LOWER LEVEL",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203577",
            "telephone_number": "631-504-0680",
            "fax_number": "631-204-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD",
            "address_2": "SUITE 17 LOWER LEVEL",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203577",
            "telephone_number": "631-504-0680",
            "fax_number": "631-204-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEST PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "ESRICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-504-0680",
        "authorized_official_credential": "PT, DPT, MBA, A-RSP"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.