Organization Active NPI

Physical Therapy Long Island, P.C.

  • Physical Therapy Clinic/Center
  • Woodbury, NY
National Provider Identifier
1093892788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8355-1 Issued in NY
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.