NPIMap

Organization Active NPI

Island Sports Physical Therapy of Glen Cove PC

  • Physical Therapy Clinic/Center
  • Glen Cove, NY
National Provider Identifier
1083644116
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ISLAND SPORTS PHYSICAL THERAPY OF GLEN COVE PC
Practice address
4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone
(516) 671-6161
Fax
(516) 674-0396
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Keith A May, P.T.
Title
President
Phone
(631) 462-9595

Specialties & licenses 1

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

Addresses

Primary practice location

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749

Mailing address

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone (516) 671-6161

National Provider Directory

National Provider Directory

Locations

3980 Sheridan Dr
#A
Amherst, NY 14226

4 Cedar Swamp Rd
Glen Cove, NY 11542
Phone (516) 671-6161

Practitioners & affiliated clinicians

Practitioners 9

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1083644116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPORTS PHYSICAL THERAPY OF GLEN COVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-462-9595",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.