Active NPI
Therapeutic Solutions Physical Therapy, PLLC
- Physical Therapist
- North Merrick, NY
National Provider Identifier
1144350109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013967
- Legal business name
- THERAPEUTIC SOLUTIONS PHYSICAL THERAPY, PLLC
- Practice address
- 1757 Merrick Ave
Suite 100
North Merrick, NY 11566-2717 - Phone
- (516) 623-4388
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie L Rockwin
- Title
- President
- Phone
- (516) 623-4388
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013967 | NY | Primary |
Addresses
Primary practice location
1757 Merrick Ave
Suite 100
North Merrick, NY 11566-2717
Mailing address
1757 Merrick Ave
Suite 100
North Merrick, NY 11566-2717
Phone (516) 623-4388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02417783 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001292 | NY | Part B Supplier - Clinic/Group Practice | 8224929450 |
Receives reassigned benefits from 6 practitioners Practice locations: N Merrick, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- North Merrick, NY
- NPI 1932182607
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1144350109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 MERRICK AVE",
"address_2": "SUITE 100",
"city": "NORTH MERRICK",
"state": "NY",
"postal_code": "115662717",
"telephone_number": "516-623-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 MERRICK AVE",
"address_2": "SUITE 100",
"city": "NORTH MERRICK",
"state": "NY",
"postal_code": "115662717",
"telephone_number": "516-623-4388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC SOLUTIONS PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "ROCKWIN",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-623-4388"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "013967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02417783",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.