Active NPI
Reese Sipala
- Physical Therapist
- Greenlawn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053205
- Practice address
- 92 Broadway Ste 102
Greenlawn, NY 11740-1328 - Phone
- (631) 938-1541
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 053205 | NY | Primary |
Addresses
Primary practice location
92 Broadway Ste 102
Greenlawn, NY 11740-1328
Mailing address
420 4TH St
East Northport, NY 11731-2931
Phone (631) 576-5510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053205 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
92 Broadway
Ste 102
Greenlawn, NY 11740
Phone (631) 262-7855
576 Broadhollow Rd
Melville, NY 11747
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Occupational Therapist
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- NPI 1205296902
Physical Therapist
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1114745007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 4TH ST",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117312931",
"telephone_number": "631-576-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BROADWAY STE 102",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117401328",
"telephone_number": "631-938-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPALA",
"first_name": "REESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenlawn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.