Individual provider Active NPI

Anita Dantzig, DPT, CHT

  • Hand Physical Therapist
  • East Setauket, NY
National Provider Identifier
1083258560
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
014350-1 Issued in NY
Practice address
14 Technology Dr Ste 5
East Setauket, NY 11733-3469
Phone
(631) 444-4210
Fax
(631) 444-4764
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 014350-1 NY Primary

Addresses

Primary practice location

14 Technology Dr Ste 5
East Setauket, NY 11733-3469

Mailing address

14 Technology Dr Ste 5
East Setauket, NY 11733-3469
Phone (631) 444-4210

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014350-1NYMDHand Physical Therapist

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1083258560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR STE 5",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333469",
            "telephone_number": "631-444-4210",
            "fax_number": "631-444-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR STE 5",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333469",
            "telephone_number": "631-444-4210",
            "fax_number": "631-444-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZIG",
        "first_name": "ANITA",
        "credential": "DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NY",
            "license": "014350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.