Therasports Plus Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016205 Issued in NY

Legal business name

THERASPORTS PLUS PHYSICAL THERAPY

Practice address

366 Veterans Memorial Hwy
Suite #2
Commack, NY 11725-4387

Phone

(631) 543-2068

Fax

(631) 543-2082

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Walter Paul Vancura, P.T.

Title

Owner/Physical Therapist

Phone

(631) 543-2068

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1114028636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 VETERANS MEMORIAL HWY",
            "address_2": "SUITE #2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254387",
            "telephone_number": "631-543-2068",
            "fax_number": "631-543-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 VETERANS MEMORIAL HWY",
            "address_2": "SUITE #2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254387",
            "telephone_number": "631-543-2068",
            "fax_number": "631-543-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERASPORTS PLUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "VANCURA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-543-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "281045P",
            "identifier": "HIP",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP BC BS",
            "identifier": "QB3403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
• The Wisdom Tooth of Commack
• Karthika Thirugnanam, RDN
• Susan Thomas, P.T
• Daniel Raphael Thompson
• Kamille Thompson
• Jillian Thorsen, LMSW

• Physical Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.