Lee William Stambouli

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047644 Issued in NY

Practice address

1081 Old Country Rd
Riverhead, NY 11901-2019

Phone

(631) 740-9200

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Long Island Vestibular Physical Therapy, PLLCGroup PAC ID 5799141768, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Island Vestibular Physical Therapy, PLLC

  • Physical Therapist
  • Wantagh, NY
  • NPI 1659009363
  Medicare reassignment Care Compare group NPD
• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment NPD
• Frank Zic, DPT, PT, PLLC

  • Physical Therapist
  • Wantagh, NY
  • NPI 1366994329
  NPD
• Riverhead Chiropractic and Physical Therapy PLLC

  • Chiropractor
  • Riverhead, NY
  • NPI 1316571573

  Physical Therapist

  NPD
• Within Normal Limits Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1508000811
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1073240818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SPRUCE DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414461",
            "telephone_number": "516-780-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012019",
            "telephone_number": "631-740-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Wantagh Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117932133",
            "country_code": "US",
            "telephone_number": "516-628-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMBOULI",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Sperling, MD
• Denise Spielman, PA
• Johanna St Jean, LMSW
• Kerri Michaela Stafford
• Donald D Staiano
• Mary Stark
• Station Dental Associates Inc.
• Lilly Steel, MD
• Arielle Joy Stein, CCC-SLP
• Jerry Steiner

• Physical Therapist in Riverhead, NY
• Providers in Riverhead, 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 May 9, 2023; 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.

Verify at the official NPI Registry.