Organization Active NPI

Lakeview Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • West Hempstead, NY
National Provider Identifier
1093944639
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
014680-1 Issued in NY
Legal business name
LAKEVIEW PHYSICAL THERAPY P.C.
Practice address
1021 Pinelake Dr
West Hempstead, NY 11552-4226
Phone
(516) 766-0747
Fax
(516) 766-0747
NPI assigned
Jul 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mrs. Velma Contina Davis-Wheeler, PTNPI 1285874305
Title
President
Phone
(516) 766-0747

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
Physical Therapy Clinic/Center 261QP2000X 014680-1 NY Primary

Addresses

Primary practice location

1021 Pinelake Dr
West Hempstead, NY 11552-4226

Mailing address

1021 Pinelake Dr
West Hempstead, NY 11552-4226
Phone (516) 766-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000385 NY Part B Supplier - Clinic/Group Practice 5890847115 Receives reassigned benefits from 1 practitioner
Practice locations: West Hempstead, NY

National Provider Directory

National Provider Directory

Locations

439 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 505-0755

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": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1093944639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PINELAKE DR",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524226",
            "telephone_number": "516-766-0747",
            "fax_number": "516-766-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PINELAKE DR",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524226",
            "telephone_number": "516-766-0747",
            "fax_number": "516-766-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WHEELER",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "CONTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-766-0747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "014680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.