Organization Active NPI

Plus Life Physical Therapy P C

  • Physical Therapy Clinic/Center
  • East Meadow, NY
National Provider Identifier
1083120265
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029020 Issued in NY
Legal business name
PLUS LIFE PHYSICAL THERAPY P C
Practice address
295 E Meadow Ave
East Meadow, NY 11554-2937
Phone
(516) 737-1848
Fax
(718) 776-1863
NPI assigned
Dec 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Mr. Mark Celestie Ornopia Cagata, DOCTOR OF PTNPI 1346495199
Title
Owner/ President
Phone
(718) 776-1863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 029020 NY Primary

Addresses

Primary practice location

295 E Meadow Ave
East Meadow, NY 11554-2937

Mailing address

55 Stratford Rd
Plainview, NY 11803-2634
Phone (718) 776-1863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117001836 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375802432 Receives reassigned benefits from 1 practitioner
Practice locations: Queens Village, NY

National Provider Directory

National Provider Directory

Locations

21530 Hillside Ave
Bsmt
Queens Village, NY 11427
Phone (718) 776-1863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1083120265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STRATFORD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032634",
            "telephone_number": "718-776-1863",
            "fax_number": "718-732-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E MEADOW AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542937",
            "telephone_number": "516-737-1848",
            "fax_number": "718-776-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUS LIFE PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-25",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "CAGATA",
        "authorized_official_first_name": "MARK CELESTIE",
        "authorized_official_middle_name": "ORNOPIA",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "718-776-1863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DOCTOR OF PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.