East Hampton Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027331-1 Issued in NY

Legal business name

EAST HAMPTON PHYSICAL THERAPY PLLC

Doing business as

EH Physical Therapy

Practice address

6 S Elmwood Ave
Montauk, NY 11954-5421

Phone

(631) 668-7600

Fax

(631) 668-7603

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rachel E Lys, DPTNPI 1578621959

Title

Owner/Physical Therapist

Phone

(631) 668-7600

Specialties & licenses 1

Addresses

Other names 1

• EH Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Elizabeth Lys, P.T.

  • Physical Therapist
  • Montauk, NY
  • NPI 1578621959
  Medicare reassignment NPD Authorized official
• Thomas Berotti, DPT

  • Physical Therapist
  • Montauk, NY
  • NPI 1205446564
  NPD

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1114263308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S ELMWOOD AVE",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545421",
            "telephone_number": "631-668-7600",
            "fax_number": "631-668-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S ELMWOOD AVE",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545421",
            "telephone_number": "631-668-7600",
            "fax_number": "631-668-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HAMPTON PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "LYS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-668-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027331-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EH Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Berotti, DPT
• Mary Elizabeth Cannon, LMHC,CRC,CASAC
• Dana D Craft, MS ED
• Megan Rae Enck, LPN
• Margaret Hayes I, PT
• Jane Hegleman
• Sara Elisabeth Hogg, LCSW
• Jenna Bogetti Mental Health Counseling

• Physical Therapist in Montauk, NY
• Providers in Montauk, 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 Dec 17, 2012; 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.