Organization Active NPI

Pediatric Physical & Occupational Therapies PLLC

  • Pediatric Physical Therapist
  • Baldwin, NY
National Provider Identifier
1093156713
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
008383-1 Issued in NY
Legal business name
PEDIATRIC PHYSICAL & OCCUPATIONAL THERAPIES PLLC
Practice address
900 Thomas Ave
Baldwin, NY 11510-4139
Phone
(516) 320-6997
Fax
(516) 320-6997
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Raymond Rogers, PTNPI 1750428868
Title
Managing Member
Phone
(516) 320-6997

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
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 008383-1 NY Primary

Addresses

Primary practice location

900 Thomas Ave
Baldwin, NY 11510-4139

Mailing address

900 Thomas Ave
Baldwin, NY 11510-4139
Phone (516) 320-6997

National Provider Directory

National Provider Directory

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": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1093156713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 THOMAS AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104139",
            "telephone_number": "516-320-6997",
            "fax_number": "516-320-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 THOMAS AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104139",
            "telephone_number": "516-320-6997",
            "fax_number": "516-320-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL & OCCUPATIONAL THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-320-6997",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "008383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.