Organization Active NPI

Five Towns Physical Therapy

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1104159797
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0087521 Issued in NY
Legal business name
FIVE TOWNS PHYSICAL THERAPY
Practice address
20 Centre St
Woodmere, NY 11598-1305
Phone
(516) 569-6800
Fax
(516) 569-8739
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ms. Linda Ingber, M.S.P.T.NPI 1255325494
Title
Physical Therapist
Phone
(516) 569-6800

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0087521 NY Primary

Addresses

Primary practice location

20 Centre St
Woodmere, NY 11598-1305

Mailing address

20 Centre St
Woodmere, NY 11598-1305
Phone (516) 569-6800

Other practice location 1

67 Carman Avenue
Cedarhurst, NY 11516-1904
Phone (516) 569-6800

Other practice location 2

893 Central Ave
Woodmere, NY 11598-2146
Phone (516) 569-6800

Other practice location 3

5402 Flatlands Ave
Brooklyn, NY 11234-2436
Phone (516) 569-6800

Other practice location 4

15 Ives Rd
Hewlett, NY 11557-2034
Phone (516) 569-6800

Other identifiers 1

IdentifierTypeStateIssuer
02232653MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000135 NY Part B Supplier - Clinic/Group Practice 0547303000 Receives reassigned benefits from 1 practitioner
Practice locations: Hewlett, NY

National Provider Directory

National Provider Directory

Locations

67 Carman Ave
Cedarhurst, NY 11516
Phone (516) 313-1679

15 Ives Rd
Hewlett, NY 11557
Phone (516) 295-2019

Practitioners & affiliated clinicians

Practitioners 2

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": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1104159797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRE ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981305",
            "telephone_number": "516-569-6800",
            "fax_number": "516-569-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRE ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981305",
            "telephone_number": "516-569-6800",
            "fax_number": "516-569-8739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Carman Avenue",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115161904",
            "country_code": "US",
            "telephone_number": "516-569-6800",
            "fax_number": "516-569-8739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "893 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115982146",
            "country_code": "US",
            "telephone_number": "516-569-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5402 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112342436",
            "country_code": "US",
            "telephone_number": "516-569-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Ives Rd",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115572034",
            "country_code": "US",
            "telephone_number": "516-569-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIVE TOWNS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "INGBER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-569-6800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0087521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02232653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.