Prestigious Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034726 Issued in NY

Legal business name

PRESTIGIOUS PHYSICAL THERAPY, PC

Practice address

1555 Sunrise Hwy
NRTH Service Rd
Bay Shore, NY 11706-6027

Phone

(631) 432-2241

Fax

(888) 485-7175

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Shereen Rampersad, DPTNPI 1629342597

Title

President

Phone

(631) 432-2241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Shereen Rampersad, DPT

  • Physical Therapist
  • Bay Shore, NY
  • NPI 1629342597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1124446489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117060536",
            "telephone_number": "631-432-2241",
            "fax_number": "888-485-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "address_2": "NRTH SERVICE RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-432-2241",
            "fax_number": "888-485-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "RAMPERSAD",
        "authorized_official_first_name": "SHEREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-432-2241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Port
• Nicholas Posillico, PT
• Mehul Pragani, MD
• Prefer Tech Inc
• Premiere Cardiology PLLC
• Corey Dallas Prezzano, PA-C
• Harrison Price, MA
• Prime Care DME LLC
• Prime Virtual Care Center LLC
• Nancy Prior

• Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, 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 Apr 3, 2014; 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.