Active NPI
Physical Therapy Long Island, P.C.
- Physical Therapy Clinic/Center
- Woodbury, NY
National Provider Identifier
1093892788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 8355-1
- Legal business name
- PHYSICAL THERAPY LONG ISLAND, P.C.
- Practice address
- 65 Froehlich Farm Blvd Ste 73
Woodbury, NY 11797-2926 - Phone
- (516) 682-0466
- Fax
- (516) 682-0465
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Nici, PT
- Title
- Physical Therapist
- Phone
- (516) 682-0466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 8355-1 | NY | Primary |
Addresses
Primary practice location
65 Froehlich Farm Blvd Ste 73
Woodbury, NY 11797-2926
Mailing address
65 Froehlich Farm Blvd Ste 73
Woodbury, NY 11797-2926
Phone (516) 682-0466
National Provider Directory
National Provider DirectoryLocations
65 Froehlich Farm Blvd
Ste 73
Woodbury, NY 11797
Phone (516) 682-0466
65 Froehlich Farm Blvd
Woodbury, NY 11797
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New Hyde Park, NY
- NPI 1982754560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1093892788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 FROEHLICH FARM BLVD STE 73",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972926",
"telephone_number": "516-682-0466",
"fax_number": "516-682-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 FROEHLICH FARM BLVD STE 73",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972926",
"telephone_number": "516-682-0466",
"fax_number": "516-682-0465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY LONG ISLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NICI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "516-682-0466",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "8355-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.